Organization
BIO IMAGE INC
Active
Other names
Bio Image Inc
Organization subpart
No
Provider details
NPI number
Authorized official
KIRIL P PEEV (PRESIDENT)
(630) 986-1573
Entity
Organization
Contact information
Practice address
601 LAKE HINSDALE DRIVE, SUITE # 208, WILLOWBROOK, IL 60527
(630) 986-1573
(630) 789-0496
Mailing address
601 LAKE HINSDALE DRIVE, SUITE # 208, WILLOWBROOK, IL 60527
(630) 986-1573
(630) 789-0496
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001630340
BC BS OF IL
IL
Enumeration date
11/14/2006
Last updated
08/22/2020
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