Organization
ULTRA DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ILYA TARTAKOVSKY (PRESIDENT)
(847) 962-6178
Entity
Organization
Contact information
Practice address
1572 BRANDYWYN LN, BUFFALO GROVE, IL 60089-1003
(847) 962-6178
Mailing address
1572 BRANDYWYN LN, BUFFALO GROVE, IL 60089-1003
(847) 962-6178
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
10/07/2012
Last updated
10/07/2012
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