NPI 1467590471

Suburban Xray

Organisation Portable X-ray and/or Other Portable Diagnostic Imaging Supplier Medinah, IL

Practice location

Address: 7 N 130 Medinah Rd Unit a, Medinah, IL 60157
Phone: (630) 529-0077
Fax: (630) 529-0087
Mailing address: PO Box 471, Medinah, IL 60157

Authorised official

Name: Pamela a Ballard
Title: President
Phone: (630) 529-0077

Registered specialties

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier Primary

Suppliers Taxonomy 335V00000X Licence 58494275 (IL)

Other Portable X-ray and/or Other Portable Diagnostic Imaging Supplier providers in Illinois →

Registry record

NPI: 1467590471
Entity type: Organization
NPI issued: 2 Feb 2007
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.