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Organization

ENVISION DIAGNOSTICS INC

Active
Other names
Batuta, Inc.
Organization subpart
No

Provider details

NPI number
Authorized official
DR. OLGA GREEN PSY.D (PRESIDENT)
(847) 494-0126
Entity
Organization

Contact information

Practice address
3000 DUNDEE RD., SUITE 311, NORTHBROOK, IL 60062
(224) 235-4821
(847) 383-6976
Mailing address
3000 DUNDEE RD, SUITE 311, NORTHBROOK, IL 60062-2422
(224) 235-4821
(847) 383-6976

Taxonomy

Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
036074107
IL
261QR0208X
Mobile Radiology Clinic/Center
036087491
IL
261QR0208X
Mobile Radiology Clinic/Center
036099445
IL
261QR0208X
Mobile Radiology Clinic/Center
036105010
IL
261QR0208X
Mobile Radiology Clinic/Center
036108313
IL
261QR0208X
Mobile Radiology Clinic/Center
036110490
IL
261QR0208X
Mobile Radiology Clinic/Center
036120986
IL
261QR0208X
Mobile Radiology Clinic/Center
036126885
IL
293D00000X
Physiological Laboratory
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1710016290
IL
01
2233357
BCBS
IL
01
473809353310
HUMANA
IL
Enumeration date
03/02/2007
Last updated
02/10/2016
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