Organization
A-1 MEDICAL IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN C ALEXANDRE M.D. (PRESIDENT)
19179294638
Entity
Organization
Contact information
Practice address
1419 W LAKE ST STE B, MELROSE PARK, IL 60160-3930
(708) 343-2095
Mailing address
507 SAUK PATH, OAK BROOK, IL 60523-2776
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
IL
Other
Enumeration date
06/21/2007
Last updated
08/22/2020
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