Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Oct 25, 2006
License(s)
036-072331 (IL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 319 E MADISON ST SUITE J | Springfield, IL 62701 | 217-753-9323 |
| LOCATION | 319 E MADISON ST SPRINGFIELD MRI & IMAGING SUITE J | Springfield, IL 62701 | 217-528-4770 |
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