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
4849 W FULLERTON AVE, CHICAGO, IL 60639-2503
(773) 622-1200
(773) 637-5985
Mailing address
5023 N LINCOLN AVE, CHICAGO, IL 60625-2611
(773) 293-0451
(773) 293-0453
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
IL
Other
Enumeration date
05/22/2006
Last updated
08/22/2020
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