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Contact Information

MOLECULAR IMAGING OF WOOD DALE, LLC
199 S ADDISON RD
STE 107B
WOOD DALE, IL60191-1929
 Phone: 630-694-6300
 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 WOOD DALE, LLC

NPI # 1306016530
LBN Legal business name MOLECULAR IMAGING OF WOOD DALE, LLC
Authorized official ALICE GARDNER - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/04/2008
Last updated 06/21/2018 - About 8 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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