Organization
CT SCAN CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HISHAM T YOUSSEF MD (RADIOLOGIST)
(618) 252-8337
Entity
Organization
Contact information
Practice address
112 E CLARK ST, HARRISBURG, IL 62946-2703
(618) 252-8337
(618) 252-8338
Mailing address
112 E CLARK ST, HARRISBURG, IL 62946-2703
(618) 252-8337
(618) 252-8338
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036089504
—
IL
Enumeration date
04/30/2007
Last updated
04/23/2018
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