Organization
CENTRAL STATES IMAGING LLC
Active
Other names
RAYUS RADIOLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN C HOLMAN (SPECIAL ASSISTANT SECRETARY)
(952) 513-6831
Entity
Organization
Contact information
Practice address
4 CEDAR RIDGE DRIVE, SUITE D, LAKE IN THE HILLS, IL 60156
(847) 458-6736
(847) 458-6700
Mailing address
PO BOX 1450, NW5710, MINNEAPOLIS, MN 55485-5710
(952) 542-8553
(952) 513-6880
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
05/19/2006
Last updated
10/08/2021
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