Organization
GRUNDY RADIOLOGISTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL T JACHEC M.D. (PRESIDENT)
(815) 941-1790
Entity
Organization
Contact information
Practice address
150 W HIGH ST, MORRIS, IL 60450-1463
(630) 581-6504
Mailing address
1200 HARGER RD STE 408, OAK BROOK, IL 60523-1818
(630) 581-6504
(815) 941-6940
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036092647
IL
Other
Enumeration date
08/27/2007
Last updated
02/02/2021
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