Organization
MAGNA MEDICAL SOLUTIONS
Active
Other names
MIDWEST MOBILE IMAGING
Organization subpart
No
Provider details
NPI number
Authorized official
SUSHMA WADHWA RDCS RVT (CEO)
(815) 235-9648
Entity
Organization
Contact information
Practice address
1600 WOODSIDE DR, FREEPORT, IL 61032-6730
(815) 235-9648
(815) 232-8730
Mailing address
1600 WOODSIDE DR, FREEPORT, IL 61032-6730
(815) 235-9648
(815) 232-8730
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
105395
IL
Other
Enumeration date
11/09/2010
Last updated
11/11/2010
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