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Organization

PRIME MEDICAL IMAGING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARINA ROSSOMAKHA (CREDENTIALING SPECIALIST)
(847) 929-5482
Entity
Organization

Contact information

Practice address
10260 191ST ST, MOKENA, IL 60448-8801
(708) 215-3899
Mailing address
8930 WAUKEGAN RD STE 130, MORTON GROVE, IL 60053-2132
(847) 929-5460
(847) 929-5461

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
293D00000X
Physiological Laboratory
Primary

Other

Enumeration date
12/20/2018
Last updated
06/27/2025
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