NPI 1093976839
Home Images of Illinois
Practice location
- Address
- 2241 207th Pl, Lynwood, IL 60411-1538
- Phone
- (630) 788-4527
- Mailing address
- PO Box 1013, Matteson, IL 60443-4013
Authorised official
- Name
- M C Hearon
- Title
- President
- Phone
- (630) 788-4527
Registered specialties
Radiologic Technologist
Primary
Registry record
- NPI
- 1093976839
- Entity type
- Organization
- NPI issued
- 24 Jun 2008
- Record last updated
- 24 Jun 2008
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.