Molecular Imaging of Bolingbrook Pet, LLC
NPI #1649456351 in Bolingbrook, Illinois
Provider Information
- NPI Number
- 1649456351
- Entity Type
- Organization
- Organization Name
- Molecular Imaging of Bolingbrook Pet, LLC
- Primary Specialty
- Clinic/Center - Radiology
- Enumeration Date
- Jan 11, 2008
- Last Updated
- Jan 11, 2008
Practice Location
- Address
- 420 REMINGTON BLVD
- Address 2
- SUITE 110
- City
- Bolingbrook
- State
- Illinois
- ZIP Code
- 60440-4925
- Phone
- (630) 325-6300
Authorized Official
- Name
- MRS. ALICE MICHELLE GARDNER
- Title
- DIRECTOR OF FACILITY OPERATIONS
- Phone
- (630) 325-6300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology — Radiology |
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