Organization
DAC IMAGING S C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE A CHARLETTA MD (OWNER)
(312) 315-8046
Entity
Organization
Contact information
Practice address
4800 S GREENWOOD AVE, CHICAGO, IL 60615-1914
(312) 315-8046
(312) 284-4800
Mailing address
4800 S GREENWOOD AVE, CHICAGO, IL 60615-1914
(312) 315-8046
(312) 284-4800
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036072329
IL
Other
Enumeration date
06/04/2013
Last updated
06/04/2013
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