Organization
UNIQUE MEDICAL IMAGING SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEEPAK P DALIA M.D. (PRESIDENT)
(847) 298-2192
Entity
Organization
Contact information
Practice address
840 S WAUKEGAN RD, SUITE 214, LAKE FOREST, IL 60045-2608
(847) 298-2192
Mailing address
920 MOUNT VERNON AVE, LAKE FOREST, IL 60045-2766
(847) 298-2192
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
07/19/2005
Last updated
10/01/2015
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