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Organization
HUNTLEY RADIOLOGY, LLC
Active
Organization
HUNTLEY RADIOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE NELLAMATTATHIL (DIRECTOR)
(847) 659-1377
Entity
Organization
Contact information
Practice address
12396 PRINCETON DR, HUNTLEY, IL 60142-7655
(847) 659-1377
(847) 659-1380
Mailing address
PO BOX 7389, PROSPECT HEIGHTS, IL 60070-7389
(847) 870-3600
(847) 870-3500
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
IL
Other
Enumeration date
05/27/2006
Last updated
01/12/2012
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