Organization
ADVANCED CLINICAL IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIZETH GOROSTIETA (PRACTICE MANAGER)
(630) 935-9761
Entity
Organization
Contact information
Practice address
12 SALT CREEK LN STE 105, HINSDALE, IL 60521-8607
(312) 676-6468
Mailing address
1011 E TOUHY AVE STE 350, DES PLAINES, IL 60018-5829
(312) 676-6648
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
03/23/2021
Last updated
06/17/2021
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