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Organization
OAK MILL IMAGING, LLC
Active
Organization
OAK MILL IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GORDON GLUCKMAN M.D. (PRESIDENT)
(847) 626-0124
Entity
Organization
Contact information
Practice address
7900 N MILWAUKEE AVE, STE. 16A, NILES, IL 60714-3159
(847) 626-0124
(847) 626-0127
Mailing address
7900 N MILWAUKEE AVE, STE. 16A, NILES, IL 60714-3159
(847) 626-0124
(847) 626-0127
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1634910
BLUE CROSS BLUE SHIELD #
IL
Enumeration date
04/17/2006
Last updated
08/22/2020
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