institution
Provena Imaging Services Inc
Diagnostic Radiology Physician in Bourbonnais, Illinois
NPI 1720197601

Provena Imaging Services Inc is a Diagnostic Radiology Physician based in St Louis Park, IL and is specialized in Diagnostic Radiology. Provena Imaging Services Inc practices in Bourbonnais, IL. The NPI Number for Provena Imaging Services Inc is 1720197601 and holds a License No. (Illinois).

The current practice location address for Provena Imaging Services Inc is 100 Provena Way, Bourbonnais, IL and can be reached out via phone at 815-929-5800 and via fax at 815-929-5801.

Location: 100 Provena Way, Bourbonnais, IL, 55416
institution
Provider Profile Details
NPI Number
1720197601
Provider Name
Provena Imaging Services Inc
Credential
Provider Entity Type
Organization
Address
100 Provena Way, Bourbonnais, IL, 55416
Phone Number
815-929-5800
Fax Number
815-929-5801
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
100 Provena Way
City
State
Zip
60914
Phone Number
815-929-5800
Fax Number
815-929-5801
person
Provider Business Mailing Address Details
Address
100 Provena Way
City
State
Zip
60914
Phone Number
815-929-5800
Fax Number
815-929-5801
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
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Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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