Organization
MOLECULAR IMAGING CHICAGO LLC
Active
Other names
National Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STEPHANIE TUCKER (DIRECTOR)
(630) 755-4327
Entity
Organization
Contact information
Practice address
230 E OGDEN AVE STE 100, HINSDALE, IL 60521-2460
(630) 325-6300
(630) 214-2362
Mailing address
2625 BUTTERFIELD RD STE 105S, OAK BROOK, IL 60523-1294
(630) 755-4325
(630) 819-8153
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
IL
261QR0200X
Radiology Clinic/Center
—
IL
Other
Enumeration date
05/16/2011
Last updated
01/17/2019
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