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Organization

NORTHERN ILLINOIS DIAGNOSTIC MEDICAL IMAGING

Active
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Organization

NORTHERN ILLINOIS DIAGNOSTIC MEDICAL IMAGING

Active
Other names
Orland Medical Imaging, Inc.
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT L PEISS M.D. (CHAIRMAN)
(630) 833-1400
Entity
Organization

Contact information

Practice address
200 BERTEAU AVE, ELMHURST, IL 60126-2966
(630) 833-1400
Mailing address
520 E 22ND ST, LOMBARD, IL 60148-6110
(630) 874-2542

Taxonomy

Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary

Other

Enumeration date
07/19/2005
Last updated
02/09/2009
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