Organization
PROVIDERS MEDICAL IMAGING AND MANAGEMENT
Active
Parent organization
AMIC MERRIONETTE PARK, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMIC MERRIONETTE PARK, LLC
Authorized official
MICHAEL STROTTER (CEO)
(708) 377-3730
Entity
Organization
Contact information
Practice address
11600 S KEDZIE AVE, SUITE H, MERRIONETTE PARK, IL 60803-6307
(708) 377-3730
(708) 293-0255
Mailing address
11600 S KEDZIE AVE, SUITE H, MERRIONETTE PARK, IL 60803-6307
(708) 377-3730
(708) 293-0255
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
08/14/2009
Last updated
08/14/2009
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