Kenosha Radiology Center Llc.

NPI #1770540130 in Kenosha, Wisconsin

Provider Information

NPI Number
1770540130
Entity Type
Organization
Organization Name
Kenosha Radiology Center Llc.
Primary Specialty
Clinic/Center - Radiology
Enumeration Date
Apr 28, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
10117 74TH ST
Address 2
SUITE 150
ZIP Code
53142-7533
Phone
(262) 697-7770

Authorized Official

Name
DR. JOHN S. PALLIN, M.D.
Title
PRESIDENT
Phone
(262) 697-7770

Specialties & Taxonomy Codes

Specialty
Clinic/Center - RadiologyRadiology

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