Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Mar 26, 2015
License(s)
125066644 (IL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 676 N SAINT CLAIR ST STE 800 | Chicago, IL 60611-2927 | 312-695-3755 |
| MAILING | 676 N SAINT CLAIR ST STE 800 | Chicago, IL 60611-2927 | 312-695-3755 |
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