Berwyn Magnetic Resonance Center LLC

NPI #1851564389 in Berwyn, Illinois

Provider Information

NPI Number: 1851564389
Entity Type: Organization
Organization Name: Berwyn Magnetic Resonance Center LLC
Subpart: Yes (part of a larger organization)
Parent Organization: BERWYN MAGNETIC RESONANCE CENTER LLC
Primary Specialty: Physiological Laboratory
Enumeration Date: Apr 4, 2008
Last Updated: Apr 4, 2008

Practice Location

Address: 3345 OAK PARK AVE
Address 2: MOBILE UNIT
City: Berwyn
State: Illinois
ZIP Code: 60402-3434
Phone: (708) 788-9400

Authorized Official

Name: BRIAN G DRAZBA
Title: SENIOR VP & CHIEF ACCOUNTING OFFCR
Phone: 94928260000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physiological Laboratory	293D00000X	Primary

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