Organization
AURORA NUCLEAR MEDICINE SERVICE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARIF AZAM M.D. (CHAIRMAN)
(773) 216-5846
Entity
Organization
Contact information
Practice address
3902 W DIVERSEY AVE, CHICAGO, IL 60647-1021
(773) 216-5846
Mailing address
520 E 22ND ST, LOMBARD, IL 60148-6110
(630) 874-2542
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
09/07/2007
Last updated
09/07/2007
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