Individual
GLENN B. PADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
X-RAY TECH
Contact information
Practice address
11600 LEGACY DR, PLAINFIELD, IL 60585-5194
(815) 577-8200
(815) 577-8300
Mailing address
11600 LEGACY DR, PLAINFIELD, IL 60585-5194
(815) 577-8200
(815) 577-8300
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
—
IL
Other
Enumeration date
11/15/2006
Last updated
11/20/2007
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