Organization
ROUND LAKE MEDICAL IMAGING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE THENGANATT (DIRECTOR)
(847) 922-6306
Entity
Organization
Contact information
Practice address
720 E ROLLINS RD, ROUND LAKE BEACH, IL 60073-1340
(847) 546-3600
Mailing address
720 E ROLLINS RD, ROUND LAKE BEACH, IL 60073-1340
(847) 546-3600
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
500505334
IL
Other
Enumeration date
04/26/2017
Last updated
04/26/2017
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