Organization
GOLF DIAGNOSTIC IMAGING CENTER, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PARVEZ SHIRAZI MD (AUTHORIZED REPRESENTATIVE)
(847) 296-5366
Entity
Organization
Contact information
Practice address
9680 GOLF RD, DES PLAINES, IL 60016-1522
(847) 296-5366
Mailing address
9680 GOLF RD, DES PLAINES, IL 60016-1522
(847) 296-5366
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
05/10/2006
Last updated
01/30/2012
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