Organization
ADVANTAGE MRI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STEPHANIE TUCKER (DIRECTOR)
(630) 755-4327
Entity
Organization
Contact information
Practice address
16137 LASALLE STREET, SOUTH HOLLAND, IL 60473
(708) 596-5555
(708) 596-5565
Mailing address
3733 PARK EAST DR, SUITE 100, BEACHWOOD, OH 44122-4338
(216) 292-9998
(216) 292-9799
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
02/23/2006
Last updated
11/08/2016
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