Organization
SALT CREEK MEDICAL IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHESH PURI (DIRECTOR)
(630) 413-4490
Entity
Organization
Contact information
Practice address
777 OAKMONT LN, STE. 1200, WESTMONT, IL 60559-5511
(630) 413-4490
Mailing address
777 OAKMONT LN, STE. 1200, WESTMONT, IL 60559-5511
(630) 413-4490
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085P0229X
Pediatric Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
261QR0200X
Radiology Clinic/Center
—
—
Other
Enumeration date
06/15/2006
Last updated
07/18/2024
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