Ft. Jesse Imaging Center LLC
NPI #1104333491 in Normal, Illinois
Provider Information
- NPI Number
- 1104333491
- Entity Type
- Organization
- Organization Name
- Ft. Jesse Imaging Center LLC
- Primary Specialty
- Radiology - Diagnostic Radiology
- Enumeration Date
- Jan 8, 2018
- Last Updated
- Oct 21, 2024
Practice Location
Authorized Official
- Name
- AMY STOUT
- Title
- PRESIDENT/CEO
- Phone
- (615) 261-2306
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
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