Provena Imaging Services INC
NPI #1649383910 in Geneva, Illinois
Provider Information
- NPI Number
- 1649383910
- Entity Type
- Organization
- Organization Name
- Provena Imaging Services INC
- Primary Specialty
- Radiology - Diagnostic Radiology
- Enumeration Date
- Aug 17, 2006
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- EDWARD MOLARE
- Title
- PRESIDENT
- Phone
- (952) 525-6338
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
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