Individual
SANDRA L FALLICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 BIESTERFIELD RD, ELK GROVE RADIOLOGY, ELK GROVE VLG, IL 60007-3311
(847) 956-5124
(847) 952-7912
Mailing address
800 BIESTERFIELD RD, ELK GROVE RADIOLOGY, ELK GROVE VLG, IL 60007-3311
(847) 956-5124
(847) 952-7912
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036077396
IL
Other
Enumeration date
06/07/2006
Last updated
03/04/2014
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