4365 Archer Mri, LLC

NPI #1265765218 in Chicago, Illinois

Provider Information

NPI Number
1265765218
Entity Type
Organization
Organization Name
4365 Archer Mri, LLC
Primary Specialty
Clinic/Center - Magnetic Resonance Imaging (MRI)
Enumeration Date
Sep 9, 2009
Last Updated
Sep 9, 2009

Practice Location

Address
4365 SOUTH ARCHER AVENUE
ZIP Code
60632
Phone
(773) 299-1071

Authorized Official

Name
DR. MARVIN E. TAZELAAR
Title
MANAGER
Phone
(773) 299-1071

Specialties & Taxonomy Codes

Specialty
Clinic/Center - RadiologyRadiology
Clinic/Center - Magnetic Resonance Imaging (MRI)Magnetic Resonance Imaging (MRI)

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