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NPI Profile for IMAGING CENTER OF SALEM INC in SALEM, IL.
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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Magnetic Resonance Imaging (MRI) |
207RM1200X | 11 | Physician/Internal Medicine |
| NPI Number | 1235204322 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 11/22/2006 | |
| Last updated | 01/26/2009 - About 17 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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IMAGING CENTER OF SALEM, INC
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IMAGING CENTER OF SALEM, INC