Healthcare Provider Details

I. General information

NPI: 1093887275
Provider Name (Legal Business Name): BIO IMAGE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 LAKE HINSDALE DRIVE SUITE # 208
WILLOWBROOK IL
60527
US

IV. Provider business mailing address

601 LAKE HINSDALE DRIVE SUITE # 208
WILLOWBROOK IL
60527
US

V. Phone/Fax

Practice location:
  • Phone: 630-986-1573
  • Fax: 630-789-0496
Mailing address:
  • Phone: 630-986-1573
  • Fax: 630-789-0496

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2471S1302X
TaxonomySonography Radiologic Technologist
License Number
License Number State

VIII. Authorized Official

Name: KIRIL P PEEV
Title or Position: PRESIDENT
Credential:
Phone: 630-986-1573