Organization
UNITED IMAGING & DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BOGDAN LYSENKO R.N. (OWNER)
(847) 778-4825
Entity
Organization
Contact information
Practice address
1600 W DEMPSTER ST, SUITE 206, PARK RIDGE, IL 60068-1109
(847) 299-3434
(847) 299-3495
Mailing address
1600 W DEMPSTER ST, SUITE 206, PARK RIDGE, IL 60068-1109
(847) 299-3434
(847) 299-3495
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
03/31/2008
Last updated
03/23/2009
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