Northeast Radiology Associates, S.c.
NPI #1033206271 in Lake Forest, Illinois
Provider Information
- NPI Number
- 1033206271
- Entity Type
- Organization
- Organization Name
- Northeast Radiology Associates, S.c.
- Primary Specialty
- Clinic/Center - Radiology
- Enumeration Date
- Oct 9, 2006
- Last Updated
- Oct 26, 2007
Practice Location
- Address
- 660 N WESTMORELAND RD
- Address 2
- RADIOLOGY DEPARTMENT
- City
- Lake Forest
- State
- Illinois
- ZIP Code
- 60045-1659
- Phone
- (847) 535-6313
Authorized Official
- Name
- DR. RONALD DEBRUIN, M.D.
- Title
- PRESEIDENT
- Phone
- (847) 535-6313
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology — Radiology |
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