Organization
MOLECULAR IMAGING OF BOLINGBROOK, 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
215 REMINGTON BLVD, BOLINGBROOK, IL 60440-3656
(630) 325-6300
(630) 325-6390
Mailing address
215 REMINGTON BLVD, BOLINGBROOK, IL 60440-3656
(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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