Organization
CONVENTIONS RX, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTA LANE (PRACTICE MANAGER)
(630) 416-8289
Entity
Organization
Contact information
Practice address
1560 WALL ST STE 304, NAPERVILLE, IL 60563-1262
(630) 416-8289
(630) 416-8307
Mailing address
1560 WALL ST STE 304, NAPERVILLE, IL 60563-1262
(630) 416-8289
(630) 416-8307
Taxonomy
Speciality
Code
Description
License number
State
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
Primary
—
—
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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