Organization
ENVISION MOBILE IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCELLO P PAOLELLA (OWNER)
(312) 515-0289
Entity
Organization
Contact information
Practice address
800 AUSTIN ST, EVANSTON, IL 60202-3439
(312) 515-0289
Mailing address
800 AUSTIN ST, EVANSTON, IL 60202-3439
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
IL
Other
Enumeration date
06/18/2017
Last updated
06/18/2017
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