Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Oct 27, 2005
License(s)
036036233 (IL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 680 N LAKE SHORE DR SUITE 1000 | Chicago, IL 60611-4546 | 312-695-4022 |
| LOCATION | 680 N LAKE SHORE DR SUITE 1000 | Chicago, IL 60611-4546 | 312-695-4022 |
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