Organization
VISTA IMAGING ASSOCIATES SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL PULLER M.D. (PRESIDENT)
(309) 363-4660
Entity
Organization
Contact information
Practice address
1324 N SHERIDAN RD, WAUKEGAN, IL 60085-2161
(847) 360-4189
Mailing address
PO BOX 8453, CAROL STREAM, IL 60197-8453
(309) 363-4660
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/11/2007
Last updated
05/13/2020
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