Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
May 26, 2006
License(s)
036060231 (IL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1044 N FRANCISCO AVE | Chicago, IL 60622-2743 | 773-292-8251 |
| LOCATION | 1044 N FRANCISCO AVE | Chicago, IL 60622-2743 | 773-292-8251 |
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