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Contact Information

MOLECULAR IMAGING OF BOLINGBROOK, LLC
215 REMINGTON BLVD
BOLINGBROOK, IL60440-3656
 Phone: 630-325-6300
 Fax: 630-325-6390
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiology

261QR0200X 74 Radiation Therapy Center
Indicates primary specialty

NPI Profile & details for MOLECULAR IMAGING OF BOLINGBROOK, LLC

NPI Number 1023294733
LBN Legal business name MOLECULAR IMAGING OF BOLINGBROOK, LLC
Authorized official ALICE GARDNER - (DIRECTOR OF FACILITY OPERATIONS)
Entity Organization
Organization subpart 1 No
Enumeration date 01/11/2008
Last updated 01/11/2008 - About 18 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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