Organization · Type 2 NPI
Mediscan Imaging Center of Rockford LLC
Diagnostic Radiology Physician · Rockford, IL
NPI number
1679695332
Active
Practice location
6957 Olde Creek Rd Ste 4100
Rockford, IL 61114-7416
Fax (815) 633-0432
Mailing address
2415 Cerro Vista Dr
Rockford, IL 61107-1004
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | None listed |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1679695332
Mediscan Imaging Center of Rockford LLC's National Provider Identifier is 1679695332, issued on Apr 4, 2007. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Rockford, IL. The record was last updated on Oct 16, 2007.