Organization Name: | OAK PARK IMAGING SERVICES, LLC |
NPI Number: | 1780659151 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM V MOLLIHAN (PHYSICIAN / OWNER) |
Mailing Address: | 610 S Maple Ave Suite 1100 Oak Park |
State: | IL US |
Postal Code: | 603041091 |
Phone Number: | 7086606710 |
Fax Number: | 7086606723 |
NPI Enumeration Date: | 02/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |