Organization
CLINICAL RADIOLOGISTS, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS C DICKERSON (CEO)
(217) 222-9302
Entity
Organization
Contact information
Practice address
3050 MONTVALE DR, SUITE A, SPRINGFIELD, IL 62704-4290
(217) 726-3389
Mailing address
3050 MONTVALE DR, SUITE A, SPRINGFIELD, IL 62704-4290
(217) 726-3389
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
05/16/2013
Last updated
05/16/2013
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