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Organization

ADVANCED IMAGING CONSULTANTS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. OSCAR LIN M. D. (PRESIDENT)
(618) 498-6402
Entity
Organization

Contact information

Practice address
400 MAPLE SUMMIT RD, RADIOLOGY DEPT, JERSEYVILLE, IL 62052-2028
(618) 498-6402
Mailing address
PO BOX 713170, CHICAGO, IL 60677-0370

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DQ9412
MEDICARE RR
IL
Enumeration date
09/17/2010
Last updated
05/04/2023
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