Organization
MRS MRI OF JOLIET, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENT E. MELLECKER (MANAGING PARTNER)
(630) 815-4818
Entity
Organization
Contact information
Practice address
903 129TH INFANTRY DR, SUITE 200, JOLIET, IL 60435-3171
(815) 741-0160
Mailing address
903 129TH INFANTRY DR, SUITE 200, JOLIET, IL 60435-3171
(815) 741-0160
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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