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Organization
WEST REGIONAL MRI LTD PARTNERSHIP
Active
Organization
WEST REGIONAL MRI LTD PARTNERSHIP
Active
Other names
VISION MRI OF OAK BROOK
Organization subpart
No
Provider details
NPI number
Authorized official
GAELANE ROSINSKI (CONTRACTING CREDENTIALING SPECIALIS)
(847) 658-0996
Entity
Organization
Contact information
Practice address
2425 W 22ND ST STE 105, OAK BROOK, IL 60523-4647
(630) 990-4674
(630) 572-1455
Mailing address
2425 W 22ND ST STE 105, OAK BROOK, IL 60523-4647
(630) 990-4674
(630) 572-1455
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
09/01/2006
Last updated
07/16/2007
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