Organization
ADVANCED IMAGING SPECIALISTS, INC
Active
Other names
NILES MEDICAL IMAGING
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE NELLAMATTATHIL (DIRECTOR)
(847) 824-2628
Entity
Organization
Contact information
Practice address
8618 W GOLF RD, NILES, IL 60714-5600
(847) 824-2628
(847) 824-4157
Mailing address
PO BOX 7389, PROSPECT HEIGHTS, IL 60070-7389
(847) 870-3600
(847) 870-3500
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
IL
Other
Enumeration date
05/06/2009
Last updated
06/30/2009
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