Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Radiology |
261QR0200X | 74 | Radiation Therapy Center | |
Magnetic Resonance Imaging (MRI) |
261QM1200X |
| NPI # | 1184242521 |
| LBN Legal business name | ELEVATION MEDICAL IMAGING EVANSTON |
| Authorized official | SHAUN ANDRIKOPOULOS - (DIRECTOR OFFICER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 07/13/2020 |
| Last updated | 09/16/2021 - About 5 years ago |
| Identifiers | n/a |
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