Provena Imaging Services Inc
Provena Imaging Services Inc is a Diagnostic Radiology Physician in Bourbonnais, Illinois. Registered with an NPI since 2006.
- In the registry since
- 2006
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
100 Provena Way Ste 104Bourbonnais, IL 60914
Phone: (815) 929-5800
Fax: (815) 929-5801
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Diagnostic Radiology Physician (primary) | Taxonomy 2085R0202X |
|---|
Record details
| NPI number | 1720197601 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Edward Molare — President · (815) 806-2309 |
| Other names | Provena Health Center For Diagnostic Imaging |
| NPI enumerated | August 30, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 5775 Wayzata Blvd, Suite 400, St Louis Park, MN 55416 |