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Organization

ADVANCED MIDWEST INTERVENTIONAL RADIOLOGY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TARRA GRANT MA (PRACTICE MANAGER)
(815) 900-9060
Entity
Organization

Contact information

Practice address
1890 SILVER CROSS BLVD STE 450, NEW LENOX, IL 60451-9518
(815) 900-9060
Mailing address
3010 HIGHLAND PKWY STE 325, DOWNERS GROVE, IL 60515-5670
(630) 581-6524

Taxonomy

Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary

Other

Enumeration date
10/21/2017
Last updated
03/07/2025
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