| Organization Name: | WESTERN SPRINGS DIAGNOSTIC OSTEOPOROSIS CENTER, LLC |
| NPI Number: | 1184703209 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GARY A FRUMKIN (PRESIDENT) |
| Mailing Address: | 5600 Wolf Rd Ste 160 Western Springs |
| State: | IL US |
| Postal Code: | 605582254 |
| Phone Number: | 7087831198 |
| Fax Number: | 7082467286 |
| NPI Enumeration Date: | 11/02/2006 |
| NPI Last Update Date: | 09/25/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0200X |
| License Number: | 9255759 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology |
| Taxonomy Definition: | |