Organization
MIDWEST ULTRASOUND SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY J LEE RDMS,RDCS,RVT (PRESIDENT)
(618) 395-2503
Entity
Organization
Contact information
Practice address
2200 STATE ST, LAWRENCEVILLE, IL 62439-1852
(618) 943-7221
Mailing address
5617 N SUGAR CREEK RD, OLNEY, IL 62450-4052
(618) 395-2503
(618) 395-2503
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
21588
IL
2471S1302X
Sonography Radiologic Technologist
21588
IL
2471V0105X
Vascular Sonography Radiologic Technologist
21588
IL
Other
Enumeration date
10/11/2006
Last updated
09/11/2025
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