Organization
VILLAPARK MEDICAL IMAGING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE NELLAMATTATHIL (PRESIDENT)
(847) 533-9029
Entity
Organization
Contact information
Practice address
646 N ADDISON RD, VILLA PARK, IL 60181-1419
(773) 774-6430
(773) 774-6405
Mailing address
646 N ADDISON RD, VILLA PARK, IL 60181-1419
(773) 774-6430
(773) 774-6405
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
12/15/2016
Last updated
12/15/2016
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