Organization
BERWYN DIAGNOSTIC IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENT M. COAN (PARTNER)
(708) 788-8900
Entity
Organization
Contact information
Practice address
6728 CERMAK RD, BERWYN, IL 60402-2217
(708) 788-8900
Mailing address
6728 CERMAK RD, BERWYN, IL 60402-2217
(708) 788-8900
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
261QR0200X
Radiology Clinic/Center
—
—
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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