Organization
SALINE VALLEY DIAGNOSTIC RADIOLOGY, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARLEE LEBLEU (VICE PRESIDENT)
(480) 321-7026
Entity
Organization
Contact information
Practice address
112 E CLARK ST, HARRISBURG, IL 62946-2703
(618) 252-8337
(618) 252-8338
Mailing address
75 REMITTANCE DR DEPT 3144, CHICAGO, IL 60675-3144
(618) 252-8337
(618) 252-8338
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036089504
—
IL
Enumeration date
01/18/2007
Last updated
07/12/2024
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