Organization
ADVANTAGE DIAGNOSTIC IMAGING CENTER - CHICAGO, LLC
Active
Other names
Westchester Diagnostic Imaging Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM KOLB (EXECUTIVE VICE PRESIDENT)
(708) 478-6403
Entity
Organization
Contact information
Practice address
19065 HICKORY CREEK PL, SUITE 240, MOKENA, IL 60448-8507
(708) 478-6417
(708) 535-8087
Mailing address
19065 HICKORY CREEK PL, SUITE 240, MOKENA, IL 60448-8507
(708) 478-6417
(708) 535-8087
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
03/24/2007
Last updated
08/22/2020
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