Organization
GALILEE MEDICAL CENTER, S.C.
Active
Other names
MRI Lincoln Imaging Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NASER RUSTOM MD (PRESIDENT)
(773) 237-0755
Entity
Organization
Contact information
Practice address
4941 N KEDZIE AVE, CHICAGO, IL 60625-5009
(773) 293-0451
(773) 942-7166
Mailing address
4941 N KEDZIE AVE, CHICAGO, IL 60625-5009
(773) 293-0451
(773) 942-7166
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
42618056
IL
Other
Enumeration date
05/30/2006
Last updated
03/05/2019
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