location
search-icon
institution
Ft. Jesse Imaging Center Llc
Mammography Clinic/Center in Normal, Illinois
NPI 1245287143

Ft. Jesse Imaging Center Llc is a Mammography Clinic/Center based in Normal, IL and is specialized in Radiology, Mammography. Ft. Jesse Imaging Center Llc practices in Normal, IL. The NPI Number for Ft. Jesse Imaging Center Llc is 1245287143 and holds a License No. (Illinois).

The current practice location address for Ft. Jesse Imaging Center Llc is 2200 Fort Jesse Rd, Normal, IL and can be reached out via phone at 309-454-5552 and via fax at 309-454-5452.

Location: 2200 Fort Jesse Rd, Normal, IL, 61761-6286
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245287143
Provider Name
Ft. Jesse Imaging Center Llc
Credential
Provider Entity Type
Organization
Address
2200 Fort Jesse Rd, Normal, IL, 61761-6286
Phone Number
309-454-5552
Fax Number
309-454-5452
Provider Enumeration Date
05/27/2006
Last Update Date
11/16/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
46015604001 05 IL
institution
Provider Business Practice Location Address Details
Address
2200 Fort Jesse Rd
City
Normal
State
Illinois
Zip
61761-6286
Phone Number
309-454-5552
Fax Number
309-454-5452
person
Provider Business Mailing Address Details
Address
2200 Fort Jesse Rd
City
Normal
State
Illinois
Zip
61761-6286
Phone Number
309-454-5552
Fax Number
309-454-5452
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
9256804 (Illinois)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology
Taxonomy
261QR0200X
License No.
9256804 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology, Mammography
Taxonomy
261QR0206X
License No.
()
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.