Organization · NPI-2
1st Look Mobile Ultrasound LLC
Clinic/Center, Radiology, Mobile · Gurnee, IL
NPI number1003654534
StatusActive
Last updated in NPPESJul 18, 2024
Details
- NPI
- 1003654534
- Entity type
- Organization (NPI-2)
- Legal business name
- 1st Look Mobile Ultrasound LLC
- Organization subpart
- No
- Enumeration date
- Jul 18, 2024
- Certification date
- Jul 18, 2024
- Last updated
- Jul 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0208X | Clinic/Center, Radiology, Mobile | – | – | Yes |
| 261QR0200X | Clinic/Center, Radiology | – | – |
Practice location
501 N Riverside Dr Ste 217Gurnee, IL 60031-5918
Phone 224-551-5783 · Fax 224-532-2681
Mailing address
501 N Riverside Dr Ste 217Gurnee, IL 60031-5918
Phone 224-551-5783 · Fax 224-532-2681
Authorized official
Felicita Navarrp
Owner / Ultrasound Tech
2245515783
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