Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Jan 6, 2006
License(s)
036060114 (IL), 036-060114 (IL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 3249 OAK PARK AVE RADIOLOGY | Berwyn, IL 60402-3429 | 708-783-2696 |
| LOCATION | 3249 OAK PARK AVE METROPOLITAN ADVANCED RADIOLOGY | Berwyn, IL 60402-3429 | 708-783-2696 |
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