Organization
ADVANCED IMAGING STUDIO, INC.
Active
Other names
AIS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EROS SANTOS (GENERAL MANAGER)
(773) 283-3232
Entity
Organization
Contact information
Practice address
4307 N CENTRAL AVE, CHICAGO, IL 60634-1815
(773) 283-3232
(772) 283-3205
Mailing address
4307 N CENTRAL AVE, CHICAGO, IL 60634-1815
(773) 283-3232
(772) 283-3205
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
319012418
IL
Other
Enumeration date
11/16/2010
Last updated
11/16/2010
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