GALILEE MEDICAL CENTER, S.C.
Radiology at Fullerton Ave, Chicago, IL

License number
Illinois 042619832
Category
Radiology
Type
Diagnostic Radiology
Owner
Name: DR. NASER RUSTOM
Title: PRESIDENT
Phone: (773) 237-0755
Address
Address
4849 W Fullerton Ave, Chicago, IL 60639
National Provider ID: 1316320401
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GALILEE MEDICAL CENTER, S.C

Chicago, IL 60625

Registration:
Dec 22, 1994
State ID:
58123293
Business type:
Domestic Bca
Expiration:
Perpetual
Agent:
Norman P Jeddeloh,120 S Riverside Plz #1200, Chicago, IL 60606 (Physical)

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