Organization
E PET IMAGING XV, L.P.
Active
Other names
PET Imaging of Chicago
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY M. EYLER (SECRETARY)
(615) 467-7408
Entity
Organization
Contact information
Practice address
6801 WEST 34TH ST, SUITE 105, BERWYN, IL 60402-5473
(708) 484-8960
(708) 484-9153
Mailing address
6801 WEST 34TH ST, SUITE 105, BERWYN, IL 60402-5473
(708) 484-8960
(708) 484-9153
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
08/25/2006
Last updated
07/21/2022
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