Diagnostic P.e.t. Network, LLC

NPI #1245358761 in Mokena, Illinois

Provider Information

NPI Number
1245358761
Entity Type
Organization
Organization Name
Diagnostic P.e.t. Network, LLC
Primary Specialty
Exclusive Provider Organization
Enumeration Date
Mar 26, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
19065 HICKORY CREEK PL
Address 2
SUITE 240
City
Mokena
ZIP Code
60448-8507
Phone
(708) 478-6417

Authorized Official

Name
MR. JON KNIPPER
Title
CHIEF OPERATING OFFICER
Phone
(708) 478-6434

Specialties & Taxonomy Codes

Specialty
Exclusive Provider Organization

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