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Organization

PALOS IMAGING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TERRENCE MOISAN M.D. (PRESIDENT)
(708) 923-5000
Entity
Organization

Contact information

Practice address
15300 WEST AVENUE, ORLAND PARK, IL 60462
(708) 226-2500
(708) 226-2509
Mailing address
12251 S. 80TH AVENUE, SUITE 1630, PALOS HEIGHTS, IL 60463
(708) 923-5173
(708) 923-5018

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Enumeration date
06/01/2016
Last updated
03/06/2017
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