Advantage Diagnostic Imaging Center - Chicago, LLC

NPI #1386761203 in Mokena, Illinois

Provider Information

NPI Number
1386761203
Entity Type
Organization
Organization Name
Advantage Diagnostic Imaging Center - Chicago, LLC
Primary Specialty
Exclusive Provider Organization
Enumeration Date
Mar 24, 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. JIM KOLB
Title
EXECUTIVE VICE PRESIDENT
Phone
(708) 478-6403

Specialties & Taxonomy Codes

Specialty
Exclusive Provider Organization

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