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Organization
FASTRAD LLC
Active
Organization
FASTRAD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORDAN WEXLER (MEMBER)
(773) 354-2937
Entity
Organization
Contact information
Practice address
6153 N MONTICELLO AVE, CHICAGO, IL 60659-1112
(773) 354-2937
Mailing address
6153 N MONTICELLO AVE, CHICAGO, IL 60659-1112
(773) 354-2937
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
1230539
NJ
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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