Organization
NORTH SUBURBAN ULTRASOUND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY A LAZAR (PRESIDENT)
(847) 343-0205
Entity
Organization
Contact information
Practice address
800 AUSTIN ST STE 466, EVANSTON, IL 60202-3455
(847) 343-0205
Mailing address
800 AUSTIN ST STE 466, EVANSTON, IL 60202-3455
(847) 343-0205
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
IL
Other
Enumeration date
09/04/2014
Last updated
04/16/2015
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