Organization
MEDULLA DIAGNOSTIC SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STUART BERNSEN (CEO)
(847) 912-2411
Entity
Organization
Contact information
Practice address
2625 BUTTERFIELD RD STE 301N, OAK BROOK, IL 60523-1266
(630) 468-1824
Mailing address
2625 BUTTERFIELD RD STE 301N, OAK BROOK, IL 60523-1266
(630) 468-1824
Taxonomy
Speciality
Code
Description
License number
State
111NR0200X
Radiology Chiropractor
Primary
—
—
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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