Individual
PEARL MAWST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3212 VOLLMER RD STE A, OLYMPIA FIELDS, IL 60461-1122
(708) 481-9800
(708) 481-9808
Mailing address
3212 VOLLMER RD STE A, OLYMPIA FIELDS, IL 60461-1122
(708) 481-9800
(708) 481-9808
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
372969
IL
Other
Enumeration date
05/06/2016
Last updated
05/06/2016
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