| Organization Name: | GURNEE RADIOLOGY CENTER, LLC |
| NPI Number: | 1083601314 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEFFREY L. ROSENGARTEN (PRESIDENT, MEDICAL DIRECTOR) |
| Mailing Address: | 25 Tower Ct Suite A Gurnee |
| State: | IL US |
| Postal Code: | 600313318 |
| Phone Number: | 8472493700 |
| Fax Number: | 8472494880 |
| NPI Enumeration Date: | 10/03/2005 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |