NPI 1417059403

West Regional MRI LTD Partnership

Organisation Physiological Laboratory Oak Brook, IL

Practice location

Address: 2425 W 22nd St STE 105, Oak Brook, IL 60523-4647
Phone: (630) 990-4674
Fax: (630) 572-1455

Authorised official

Name: Gaelane Rosinski
Title: Contracting Credentialing Specialis
Phone: (847) 658-0996

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X

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Registry record

NPI: 1417059403
Entity type: Organization
NPI issued: 1 Sep 2006
Record last updated: 16 Jul 2007

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.