Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Jun 27, 2006
License(s)
036-053912 (IL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 8420 W 119TH PL | Palos Park, IL 60464-3104 | 708-528-2326 |
| LOCATION | 800 BIESTERFIELD RD | Elk Grove Village, IL 60007-3311 | 847-437-5500 |
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