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Organization
MOLECULAR IMAGING OF BOLINGBROOK PET, LLC
Active
Organization
MOLECULAR IMAGING OF BOLINGBROOK PET, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALICE MICHELLE GARDNER (DIRECTOR OF FACILITY OPERATIONS)
(630) 325-6300
Entity
Organization
Contact information
Practice address
420 REMINGTON BLVD, SUITE 110, BOLINGBROOK, IL 60440-4925
(630) 325-6300
(630) 325-6390
Mailing address
420 REMINGTON BLVD, SUITE 110, BOLINGBROOK, IL 60440-4925
(630) 325-6300
(630) 325-6390
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
01/11/2008
Last updated
01/11/2008
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