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Organization
ADVANCED IMAGING SPECIALISTS, INC
Active
Organization
ADVANCED IMAGING SPECIALISTS, INC
Active
Other names
NILES MEDICAL IMAGING
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE NELLAMATTATHIL (DIRECTOR)
(847) 824-2628
Entity
Organization
Contact information
Practice address
8618 W GOLF RD, NILES, IL 60714-5600
(847) 824-2628
(847) 824-4157
Mailing address
PO BOX 7389, PROSPECT HEIGHTS, IL 60070-7389
(847) 870-3600
(847) 870-3500
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
IL
Other
Enumeration date
05/06/2009
Last updated
06/30/2009
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