NPI 1013012681
Division Medical & Diagnostics INC
Practice location
- Address
- 4913 W Fullerton Ave, Chicago, IL 60639-2505
- Phone
- (773) 637-2000
- Fax
- (773) 367-2006
Authorised official
- Name
- Raghu Nayak
- Title
- President
- Phone
- (630) 986-1240
Registered specialties
Sonography Radiologic Technologist
Primary
Registry record
- NPI
- 1013012681
- Entity type
- Organization
- NPI issued
- 14 Sep 2006
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.