Providers Medical Imaging and Management
NPI #1851523534 in Merrionette Park, Illinois
Provider Information
- NPI Number
- 1851523534
- Entity Type
- Organization
- Organization Name
- Providers Medical Imaging and Management
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- AMIC MERRIONETTE PARK, LLC
- Primary Specialty
- Clinic/Center - Radiology
- Enumeration Date
- Aug 14, 2009
- Last Updated
- Aug 14, 2009
Practice Location
- Address
- 11600 S KEDZIE AVE
- Address 2
- SUITE H
- City
- Merrionette Park
- State
- Illinois
- ZIP Code
- 60803-6307
- Phone
- (708) 377-3730
Authorized Official
- Name
- MICHAEL STROTTER
- Title
- CEO
- Phone
- (708) 377-3730
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology — Radiology |
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