Organization · Type 2 NPI

Ft. Jesse Imaging Center LLC

Diagnostic Radiology Physician · Normal, IL

NPI number 1104333491 Active

Practice location

2200 Fort Jesse Rd
Normal, IL 61761-6286

Mailing address

840 Crescent Centre Dr Ste 200
Franklin, TN 37067-4652

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XNone listed

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

48 other providers at this address

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About NPI 1104333491

Ft. Jesse Imaging Center LLC's National Provider Identifier is 1104333491, issued on Jan 8, 2018. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Normal, IL. The record was last updated on Oct 21, 2024.