Organization
HOME IMAGES OF ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
M C HEARON (PRESIDENT)
(630) 788-4527
Entity
Organization
Contact information
Practice address
2241 207TH PL, LYNWOOD, IL 60411-1538
(630) 788-4527
Mailing address
PO BOX 1013, MATTESON, IL 60443-4013
(630) 788-4527
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
PENDING
IL
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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