Organization
BELLEVILLE IMAGING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID R. HORACE (PRESIDENT)
(618) 233-9729
Entity
Organization
Contact information
Practice address
15 PARK PL, SWANSEA, IL 62226-2968
(618) 233-9729
Mailing address
15 PARK PL, SWANSEA, IL 62226-2968
(618) 233-9729
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
364970
IL
Other
Enumeration date
09/01/2006
Last updated
08/17/2009
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