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Organization

NORTHERN ILLINOIS IMAGING SERVICES LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HEMLATA BAKANE (OWNER)
(815) 464-8896
Entity
Organization

Contact information

Practice address
2000 QUAILS ROOST DR, NEW LENOX, IL 60451-2795
(815) 806-2200
Mailing address
2000 QUAILS ROOST DR, NEW LENOX, IL 60451-2795
(815) 806-2200

Taxonomy

Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
IL

Other

Enumeration date
10/25/2007
Last updated
04/08/2008
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