Organization
MATTESON MRI INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI NASSAR (MANAGER)
(708) 481-9300
Entity
Organization
Contact information
Practice address
4801 SOUTHWICK DR, SUITE 101, MATTESON, IL 60443-2254
(708) 481-9300
(708) 481-9320
Mailing address
4801 SOUTHWICK DR, SUITE 101, MATTESON, IL 60443-2254
(708) 481-9300
(708) 481-9320
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
261QR0200X
Radiology Clinic/Center
—
—
Other
Enumeration date
09/09/2011
Last updated
12/02/2011
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