Organization
MEDISCAN IMAGING CENTER OF ROCKFORD LLC
Active
Other names
High Field Open MRI of Rockford
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AVNEESH NIGAM (PRESIDENT)
(815) 636-2244
Entity
Organization
Contact information
Practice address
6957 OLDE CREEK RD STE 4100, ROCKFORD, IL 61114-7416
(815) 636-2244
(815) 633-0432
Mailing address
2415 CERRO VISTA DR, ROCKFORD, IL 61107-1004
(815) 636-2244
(815) 633-0432
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
04/04/2007
Last updated
10/16/2007
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