iema division of nuclear safety new licenses and ... · iema qivision of nuclear safety new...

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IEMA Division of Nuclear Safety New Licenses and Terminations by Month Between 04/05/2005 and 0511 512009 7/9/2009 Action Type Facility ~ Schema Amnd Approved New Application , River to River Heart Group ~~ - ~ ~ 52200 01/11/2008 86-02351 -01 3333 W Deyoung St Marion, IL 62959-5884 Attn: Timothy K Schmidt 3 CEO 87000 01/14/2008 86-02369-01 17750 Kedzie Ave Hazel Crest, IL 60429-2047 Attn: Jayant VGinde Radiation Safety Officer New Application 86-02290-01 Fox Valley Internal Medicine LLC 650 Dakota St Ste A Crystal Lake, IL 60012-3744 ~ 52200 01/23/2006 Attn: George Urban Managing Member New Application Vernon Hills Shared Services, LLC 52200 01/24/2006 86-02291 -01 565 Lakeview Pkwy Ste 150 Vernon Hills, IL 60061-1839 Attn: Sandra L Davis Vice President New Application Ogle County Highway Department 65000 01/26/2007 86-02321-01 1989 S II Route 2 Oregon, 1L61061-9501 Attn: Curtis D Cook RSO New Application Diagnostic Cardiac Imaging, LLC 52200 01/31/2006 86-02292-01 9669 Kenton Ave Ste 206 Skokie, I1 60076-1226 Attn Ronald R Stancy Radiation Safety Officer New Application Blue Ribbo a r v i c e s , Inc. 509 Leb 29800 02/0 1 /2007 Michael Merz Office Manager Page 1 of 33

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Page 1: IEMA Division of Nuclear Safety New Licenses and ... · IEMA Qivision of Nuclear Safety New Licenses and Terminations by Month 7/9/2009 Between 04/05/2005 and 05/15/2009 Action Type

IEMA Division of Nuclear Safety New Licenses and Terminations by Month

Between 04/05/2005 and 0511 512009

7/9/2009

Action Type Facility ~

Schema Amnd Approved

New Application , River to River Heart Group ~~ - ~ ~

52200 01/11/2008

86-02351 -01 3333 W Deyoung St Marion, IL 62959-5884

Attn: Timothy K Schmidt 3 CEO

87000 01 /14/2008

86-02369-01 17750 Kedzie Ave Hazel Crest, IL 60429-2047

Attn: Jayant VGinde Radiation Safety Officer

New Application

86-02290-01

Fox Valley Internal Medicine LLC

650 Dakota St Ste A Crystal Lake, IL 60012-3744

~

52200 01/23/2006

Attn: George Urban Managing Member

New Application Vernon Hills Shared Services, LLC 52200 01/24/2006

86-02291 -01 565 Lakeview Pkwy Ste 150 Vernon Hills, IL 60061-1839

Attn: Sandra L Davis Vice President

New Application Ogle County Highway Department 65000 01/26/2007

86-02321-01 1989 S II Route 2 Oregon, 1L61061-9501

Attn: Curtis D Cook RSO

New Application Diagnostic Cardiac Imaging, LLC 52200 01/31/2006

86-02292-01 9669 Kenton Ave Ste 206 Skokie, I1 60076-1226

Attn Ronald R Stancy Radiation Safety Officer

New Application Blue Ribbo a r v i c e s , Inc.

509 Leb

29800 02/0 1 /2007

Michael Merz Office Manager

Page 1 of 33

Page 2: IEMA Division of Nuclear Safety New Licenses and ... · IEMA Qivision of Nuclear Safety New Licenses and Terminations by Month 7/9/2009 Between 04/05/2005 and 05/15/2009 Action Type

IEMA Division of Nuclear Safety New Licenses and Terminations by Month

Between 04/05/2005 and 0511 512009

7/9/2009

Action Type Facility ~~

Schema Arnnd Approved

New Application

86-02339-01

Chicago Radiation Oncology, S.C. (Jackson Park Hospital Site) 7531 S Stony Island Ave Chicago, IL 60649-3954

Attn: Moharnmad Khan

55100 02/05/2008

President

New Application Eichrom Technologies, LLC 80400

86-02371-01 1955 University Ln Lisle, IL 60532-2151

Attn: Terrence C O'Brien

New Application Organ Recovery Systems 80400 02/24/2006

86-02293-01 2570 E Devon Ave Des Plaines, IL 60018-4912

Attn: P.J. Pardo Director, Regulalory & Quality Mgrnt

New Application Midwest Environmental Consulting Services, Inc. 65000

86-02377-01 4 Bonnie Ln Yorkvrlle, IL 60560-9748

Attn: Blake Mellecker President

03/02/2007 New Application Petroff Trucking Co., Inc. 65000

86-02324-01 PO Box 838 Collinsville, IL 62234-0838

Attn: Steven Petroff

New Application Suburban Cardiologists, SC

86-02353-01 333 Chestnut St Ste 105 Hinsdale, IL 60521-3248

Attn: Meechai Tessalee Radiation Safetv Officer

~ ~-

52200 03/13/2008

New Application R.W. Dunternan Co.

86-02327-01 PO Box 1129 600 S. Lombard Rd. Addison, IL 60101-8159

Attn: Jeff Dunternan V.P. Ooerations

65000 03/16/2007

New Application

86-02296-01 3703 Doty Rd

Ani1 K. Khemani M.D. S.C.

Medical Office Building 1, Suite 4 Woodstock, IL 60098-7517

52400 03/22/2006

ob

Page 2 of 33

Page 3: IEMA Division of Nuclear Safety New Licenses and ... · IEMA Qivision of Nuclear Safety New Licenses and Terminations by Month 7/9/2009 Between 04/05/2005 and 05/15/2009 Action Type

IEMA Qivision of Nuclear Safety New Licenses and Terminations by Month

7/9/2009

Between 04/05/2005 and 05/15/2009

Action Type Fa ci liiy Schema Arnnd Approved

Attn: Ani1 K Khemani

03/30/2007 New Application Advanced Medical Diagnostics 52200

86-02322-01 3330 W 177th St Ste 3E Hazel Crest, IL 60429-21 96

Attn: William Crevier CEO

New Application Advanced Heart Group SC 68000 04/05/2005

86-02254-01 71 W 756th St Ste 305 Harvey, IL 60426-4264

Ann: P. Sandy Sundrarn President

New Application Mt. Vernon Heart Institute 52400 04/06/2005

86-02261-01 PO BOX 789 4204 Williamson Place Mount Vernon, IL 62864-0016

Attn: Mohammed Haseeb Owner

New Application Martin Speracino 65000 04/1 0/2007

86-02326-01 208 W School St Winnebago, IL 61 088-8592

Attn: Martin Speracino Owner

65000 0411312005 New Application Midland Standard Engineering and Testing, Inc.

86-02264-01 558 Plate Dr Ste 6 East Dundee, IL 601 18-2458

Attn: William D Prigge President

New Application Northern lllinois Cancer Treatment Center 55100 04/15/2005

86-02258-01 327 II Route 2 DkOn, 1L61021-9118

Attn: Jon Berens Medical Physicist

New Application Stowe Woodward LLC

@ 0 4 3 1 - 0 1 One Wes

65000 04/18/2008

New Application Water Remediation Technology, LLC 83100 04/20/2005

Page 3 of 33 P

Page 4: IEMA Division of Nuclear Safety New Licenses and ... · IEMA Qivision of Nuclear Safety New Licenses and Terminations by Month 7/9/2009 Between 04/05/2005 and 05/15/2009 Action Type

IEMA Division of Nuclear Safety 7/9/2009

New Licenses and Terminations by Month Between 04/05/2005 and 05/15/2009

Action Type Facility Schema Arnnd Approved

86-02251-01 9500 W 49th Ave Ste D1OO Wheat Ridge, CO 80033-2239

Attm Duane Bollig VP-Environmental & Government Affairs

New Application Chicago Cardiology Institute, S.C. 52200

86-02380-01 800 Biesterfield Rd Ste 3007 Brock Building Elk Grove Village, IL 60007-3371

Attn: Parag M Doshi M.D.

New Application JR Chhibber, M.D., SC 52400

86-02385-01 642 E 79th St Chicago, IL 60619-3070

Attn: Ronald DEdwards Q New Application

86-02355-01 819 N Sunnyside Rd

Entler Excavating Company, Inc

Decatur, IL 62522-9701

Attn: Jeff Entler Manager

65000 04/24/2008

New Application Plote Construction, Inc.

86-02295-01 1100 Brandt Dr Hoffman Estates, 1 1 60192-1676

65000 04/27/2006

Attn: John Felker Radiation Safety Officer

New Application Dr. Stanley Bialowas 52400 04/27/2007

86-02330-01 3902 W Diversey Ave Chicago, IL 60647-1021

Attn: Stanley Bialowas Owner

New Application

86-02298-01 1375 Joliet Rd

James 0. Fiala Asphalt Corp.

Rorneoville, IL 604464053

Attn: William R Wenhel

65000 04/28/2006

RSO

New Application Lawrence County Memorial Hospital 52200 04/29/2005

86-02269-01 2200 State St Lawrenceville, IL 62439-1 852

Attn: Sylvia Pulleyblank CEO of County Health Services

Page 4 of 33

Page 5: IEMA Division of Nuclear Safety New Licenses and ... · IEMA Qivision of Nuclear Safety New Licenses and Terminations by Month 7/9/2009 Between 04/05/2005 and 05/15/2009 Action Type

lEMA Division of Nuclear Safety New Licenses and Terminations by Month

Between 04/05/2005 and 0511 512009

7/9/2009

AcAionType . Facility Schema Arnnd Approved

New Application Environmental Resources Management

86-02356-01 12755 Olive Blvd., Ste 110 St Louis, MO 63141-6242

65000 05102J2008

Attn: Scott Pearce Construction Manager .

New Application Techknow Engineering, LLC 65000 05/04/2006

86-02304-01 30 E Adams St Ste 11 00 Chicago, iL 60603-5609 6

Attn: Kulbhushan Razdan President

New Application GEO Consultants, LLC 79800

86-02363-01 PO Box 95 199 Kentucky Avenue Kevil, KY 42053-0095

Attn: Jeffrey W Douthitt President

New Application James McHugh Construction Company 65000

86-02384-01 1737 S Michigan Ave Chicago, IL 60616-1211

Attn: Jeremy Ruggio Quality Control Manager

New Application Mendota Community Hospital 05/09/2007

86-02331-01 1315 Memorial Dr Mendota, IL 61342-1447

Attn: Lynn E Klein AdrninistratorlCEO

New Application

86-02358-01

Cardiovascular Associates of Glenbrook and Evanston

2501 Compass Rd Ste I00 Glenview, IL 60026-8000

Attn: Patrick J Byrne

52200 05/09/2008

8

New Application Southwest Comprehensive Oncology Center Radiation Therapy Cons., Ltd. 55100 0511 112007

86-02328-01 7800 W 122nd St Palos Heights, IL 60463-1 279

Attn:

New Application

86-02382-01 PO Box 182

Hutson & Associates, inc

120 N Washington Bunker Hill, IL 62014-0182

65000

Page 5 of 33

Page 6: IEMA Division of Nuclear Safety New Licenses and ... · IEMA Qivision of Nuclear Safety New Licenses and Terminations by Month 7/9/2009 Between 04/05/2005 and 05/15/2009 Action Type

IEMA Division of Nuclear Safety 7/9/2009

New Licenses and Terminations by Month Between 04/05/2005 and 05/15/2009

Action Type Facility Schema Amnd Approved

Attn: Timothy Gross VP Engineering

New Application Test Construction Company

86-02379-01 3900 Pine Hill Rd Sterling, IL 61081-9313

Attn: Isabel Tessmann

New Application

86-02386-01 8 Fernwood Road

Siemens Building Technologies, Inc.

Florham Park, NJ 07932-1 906

85200

Attn: HarryMLee FSP Quality/Mgr/Rad Safety Officer

New Application Perry Memorial Hospital 52200 05/15/2007

86-02325-01 530 Park Ave E Princeton, IL 61 356-3901

Attn: Rex D Conger President and CEO

New Application Paris Community Hospital 52200 05/20/2005

86-01050-02 721 E Court St 3r-- I Pans, II, 61 944-2460

Attn: John D Fajt Administrator

New Application G&S Asphalt, Inc. 05/24/2005

86-02268-01 16870 N Quality Lime Rd Marshall, IL 62441-4442

Attn: Gary Peak President

New Application KRONES, Inc.

86-02315-01 6312 Oakton St Morton Grove, IL 60053-2723

Attn: Ronald B Wilson RSO

8R00 05/26/2007

New Application

86-02300-01

Horizon Medical Center, LTD.

1301 N Plum Grove Rd Schaumburg, iL 60173-4547

Attn: Asharaf T Dabawala President

52200 05/30/2006

New Application

86-02271-01 735 N Perryville Rd

Forest City Diagnostic Imaging

Rockford IL 61 107-6200

52200 05/31/2005

Page 6 of 33

6

Page 7: IEMA Division of Nuclear Safety New Licenses and ... · IEMA Qivision of Nuclear Safety New Licenses and Terminations by Month 7/9/2009 Between 04/05/2005 and 05/15/2009 Action Type

IEMA Division of Nuclear Safety 7\9/2009

New Licenses and Terminations by Month Between 04/05/2005 and 0511 512009

Action Type Facility Schema Amnd Approved

Attn: Kevin J OGrady RSO

New Application KALGEn Consultants, Inc. 65000 05/31 12005

86-02272-01 71 6 N Wisconsin Ave Villa Park, 1L 60181-1505

Attn: Atri Kalluri Principal Engineer

New Application Illinois Cement Company 64000 05/31 /2006

86-02297-01 PO Box 442

05/31/2006 New Appliwtion The Heart Care Group . 52200

86-02302-01 6810 State Route 162 Ste 102 Anderson Hospital Professional Building Maryville, IL 62062-8501

Attn: Suzan R Huseman Manager

New Application Friendsville Mine, LLC 64000 05/31/2006

86-02305-01 528 Main Street, Suite 202 Evansville, IN 47708

Attrr , John CHarman Manager

New Application Shahriar Dadkhah, M.D.,S.C.

86-02301-01 . 800 Austin St Suite 304 West Tower Evanston, IL 60202-3439

52400

Attn: Shahriar Dadkhah Owner and President

06/07/2006

New Application

86-02344-01

Joliet Radiation Oncology at Hoffman Cancer Center

1301 Copperfield Ave Ste 116 Joliet, IL 60432-2055

Attn: Salwa Asaad Medical Director

55100 06/16/2008

New Application Oncology Specialists, S.C. 52200 06/17/2008

86-02360-01 7900 N Milwaukee Ave Unit 16 Niles, IL 60714-3165

Att n:

New Application Molecular Imaging of Suburban Chicago, LLC 52200 06/21/2005

Page 7 of 33 f? \ * i' L

Page 8: IEMA Division of Nuclear Safety New Licenses and ... · IEMA Qivision of Nuclear Safety New Licenses and Terminations by Month 7/9/2009 Between 04/05/2005 and 05/15/2009 Action Type

IEMA Division of Nuclear Safety 7/9/2009

New Licenses and Terminations by Month Between 04/05/2005 and 0511 512009

Action Type Facility Schema Amnd Approved

86-02273-01 230 E Ogden Ave Ste 100 Hinsdale, IL 60521-2460

Attn: Rajeev Batra Managing Member

New Application INEOS USA, LLC 64000 06/21 /2006

86-02289-01 Radiation Safety Office, 601-1NE 150 West Warrenville Road Naperville, IL 60566 b

. . Attn: James A Kaduk

Chairman, Radiation Safety Committee

New Application St. Louis Cardiology Consultants, Ltd. 52200 06/23/2005

86-02266-01 11133 Dunn Road, Suite 2346 St. Louis, MO 631 36-61 I 9

Attn: Sarner Thanavaro Owner

New Application

86-02265-01 P.O. Box 998

Superior Asphalt Materials, LLC

Aurora, IL 60507-0998

Attn: Alan C Roerig Q.C. Manager

65000 06/26/2005

New Application Cardiology Medical Group

86-02335-01 6625 S Pulaslti Rd Chicago, lL60629-5137

Attn:

52200

~

06/29/2007

New Application Anna Hospital Corporation ' 52200 06/30/2005

86-01896-02 517 N Main St d/b/a Union County Hospital

Anna, lL62906-I668

Ann: James Farris C.E.O.

07/01/2008 New Application DuPage Medical Group 52200

86-02361-01 808 Rickert Dr Ste 100 Naperville, IL 60540-0905

Attn: Donald L Miller Health Physicist

New Application Rochelle Community Hospital 07/06/2007

86-02098-02 900 N 2nd St Rochelle, IL 61 068-1 764

Attn: Bruce Peterson CEO

Page 8 of 33

Page 9: IEMA Division of Nuclear Safety New Licenses and ... · IEMA Qivision of Nuclear Safety New Licenses and Terminations by Month 7/9/2009 Between 04/05/2005 and 05/15/2009 Action Type

1EMA Division of Nuclear Safety New Licenses and Terminations by Month

' Between 04/05/2005 and 05/15/2009

7/9/2009

Actjon Type Facility Schema Arnnd Approved

New Application GeoLog Well Services, Inc. 77000 07/08/2005

86-02277-01 . PO BOX 577 Wayne City, IL 62895-0577

Attn: Gregory K Pottorff President

New Application Kankakee Radiation Oncology, LLC 551 00 07/14/2008

86-02357-01 100 Provena Way Bourbonnais, IL 60914-4796

Attn: Jon Berens

New Application Midwest imaging & Diagnostic Center, Inc. 52200 07/22/2005

86-02270-01 5702 W 95th St Oak Lawn, IL 60453-2345

Attn: Ashraf Abourahma RSO

New Application

86-02274-01 8700 S Dante Ave

Premier Diagnostic Imaging Solutions, Inc.

Chicago, 1L60619-7118

Attn: John Saldanha Administrative Director

52200 07/22/2005

52200 07/28/2006

8 6 - 0 2 1 e 4355 Montgomery Road Naperville, IL 60564

86-02275-01 49 Bradford Ln Oak Brook, IL 60523-2350

Ann: Srinivas Ravanam

New Application

86-02333-01

Consultants in Cardiovascular Imaging

675 W North Ave Ste 210 Melrose Park, IL 60160-1604

Attn:

68000 08/03/2007

New Application

86-02342-01 3611 W 183rd St

Hickory Cardiac Care, LLC

Village West Office Center Hazel Crest, IL 60429-2409

52200 08/1 0/2007

Page 9 of 33

Page 10: IEMA Division of Nuclear Safety New Licenses and ... · IEMA Qivision of Nuclear Safety New Licenses and Terminations by Month 7/9/2009 Between 04/05/2005 and 05/15/2009 Action Type

IEMA Division of Nuclear Safety New Licenses and Terminations by Month

Between 04/05/2005 and 05/75/2009

7/9/2009

Action Type Facility Schema Arnnd Approved

Attn: Tahir M Khokher Radiation Safety Officer

New Application Bi-State Cardiovascular Consultants 52400 08/17/2006

86-02306-01 2355 Dougherty Ferry Road, Suite 440 St. Louis, MO 631 22-3325

Attn Zia M Ahmad Owner

08/17/2007 New Application Advanced Imaging Center, LLC 52400

86-02338-01 615 Valley View Dr Ste 101 Moline, IL 61265-6150

Attn: Mike Kilmartin Radiation Manager

New Application Advanced Cardiology & Vascular Services, LLC 52200 08/21/2006

86-02308-01 317 Salem PI Ste 180 Fairview Heights, IL 62208-1359

New Application North Shore Physicians Group 52200 08/22/2006

86-02313-01 9312 Skokie Bivd Skokie, IL 60077-1309

Attn: John Sabbia RSO

New Application

86-02278-01 10419 Fleming Rd

InMed Diagnostic Services of Illinois

Carterville, lL 6291 8-3391

Attn: Robert E Adams President

52200 08/30/2005

New Application

86-02329-01 8045 Larnon Ave

Astdlas Research Institute of America

Skokie, IL 60077-5308

Attn:

80400 08/3'0/2007

New Application Dr. Shah

86-02334-01 2315 E 93rd St Ste 322 . Chicago, IL 60617-3948

Attn: Uday Shah President

68000 08/30/2007

New Application Brian Szydzik

86-02337-01 103 Stoneshire Ct Unit C Hampshire, IL 60140-7640

65000 08/30/2007

Page 10 of 33

Page 11: IEMA Division of Nuclear Safety New Licenses and ... · IEMA Qivision of Nuclear Safety New Licenses and Terminations by Month 7/9/2009 Between 04/05/2005 and 05/15/2009 Action Type

IEMA Division of Nuclear Safety New Licenses and Terminations by Month

Between 04/05/2005 and 0511 5/2009

7/9/2009

~ ~- ~

Action Type Facility Schema Amnd Approved

Attn: Brian Szydzik

52200 0813112005 New Application The Heart Specialists, Ltd.

86-02276-01 4900 S Archer Ave Archer Medical Arts Building Chicago, IL 60632-3663

Attrr Ashish Mukherjee Director

New Application Geetha Reddy, M.D.

86-02282-01 ' PO Box 1 127 Libertyville, IL 60048-4127

Attn: Geetha M Reddy Owner

52400 08/31/2005

New Application

86-02359-01

Molecular Imaging of Bolingbrook PET, LLC

420 Remington Blvd Ste 11 0 Bolingbrook, IL 60440-4930

Attn: Rajeev Batra Manager

52200

~~~ ~

New Application Randall Medical Imaging Center

86-0231 1-01 1710 N Randall Rd Ste 180 Elgin, IL 60123-9403

Attn: Richard Kim

52200 09/08/2006

Medical Director

New Application Conrad DeLatour & Associates. Inc. 65000 09/09/2005

86-02283-01 1221 Rand Rd Des Plaines, IL 60016-3402

Attn: Joyce DeLatour President

2 6

New Application Kiewit Western Co. 65000 09/12/2005

86-02285-01 PO Box 66092 Chicago, IL 60666-0092

Attn: Robert Lester Quality Control Manager

New Application Alliance Consulting, Inc. 65000 09/12/2006

86-02314-01 124 Philpotl Lane Beaver, WV 2581 3-9502

Attn: C. David Ide RSO

New Application GSG Material Testing, Inc. 65000 09/20/2007

Page 11 of 33

Page 12: IEMA Division of Nuclear Safety New Licenses and ... · IEMA Qivision of Nuclear Safety New Licenses and Terminations by Month 7/9/2009 Between 04/05/2005 and 05/15/2009 Action Type

IEMA Division of Nuclear Safety . 7/9/2009

New Licenses and Terminations by Month Between 04/05/2005 and 0511 5/2009

Action Type Facility Schema Arnnd Approved

86-02340-01 2945 W Harrison St Chicago, IL 60612-3334

Attn: Umar TAhmad Vice President

New Application Southern Cook Radiation Oncoloav. Ltd. . . Southern Cook Radiation Treatment Center

86-02299-01 2310 York St St. Francis Pavilion Blue Island, IL 60406-241 1

55100 09/21/2006

Attn: Gregorio M Tolentino Radiation Oncologist, Medical Director

New Application Sherman Family Health Center at Royal Boulevard 52200 09/23/2005

86-02280-01 2320 Royal Blvd Elgin. IL 60123-4717

Attn Thomas Niiz Admin. Director, Diagnostic Services

New Application Tecrna Testing, Inc. 65000 09/28/2007

8642332.

New Application

86-02317-01

e + healthcare XV, LLC d/b/a PET Imaging of Chicago 6801 34th St Ste 105 Bewyn, I1 60402-5590

Attn Jerry Eyler Chief Financial Officer

52200 10/06/2006

2 F-

New Application Midwest Brachytherapy, lnc. d/b/a source2site

86-02262-01 538 N Walnut St Elmhurst. IL 60126-1848

Attn Steven M Pighini Director of Operations

551 00 1011 22005

New Application Community Cancer Center

86-02349-01 407 E Vernon Ave Normal, lL61761-3813

Attn: Barbara J Nathan Executive Director

52200 1011 a2007

New Application Clinical Radiologists, S.C. 52200 1011 712007

86-02348-01 701 N 1st St Springfield, IL 62781-0001

Attn: Thomas Dickerson c Chief Executive Officer

Page 12 of 33

Page 13: IEMA Division of Nuclear Safety New Licenses and ... · IEMA Qivision of Nuclear Safety New Licenses and Terminations by Month 7/9/2009 Between 04/05/2005 and 05/15/2009 Action Type

IEMA Diwision of Nuclear Safety 7/9/2009

New Licenses and Terminations by Month Between 04/05/2005 and 0511 512009

Action Type Facility Schema Amnd Approved

New Application Adventist Eolingbrook Hospital 52200 10/19/2007

86-02347-01 500 Rernington Blvd Bolingbrook, [L 60440-4906

Attn: Isaac Palmer CEO

New Application Edgebrook Radiology Management Services 52200 10/20/2006

86-0231 0-01 5320 W Devon Ave Chicago, IL 60646-4108

Attn: George Nellamattathil Director

New Aqplication Abbott Molecular, Inc. 80400 10/21/2005

86-02279-01 1300 E Touhy Ave Des Plaines. IL 60018-3315

Attn Terry W Liaboe Sr. Staff Spec.- Environ., Hlth & Safety

New Application Geo Services, Inc. 65000 10/24/2005

86-02281-01 805 Arnherst Ct Ste 204 Naperville, IL 60565-3448

Attn: Julian Rueda President

Arlington Heights Radiology Center, LLC New Application

86-02286-01 121 S Wilke Rd Ste 103 Arlington Heights, IL 60005-1524

Attn: Jerry Rice Manager

G New Application Radiopharmacy, Inc. 66000 10/31/2006

86-02309-01 1409 E. Virginia St. Evansville, IN 47711

Attn: Timothy M Quinton President and RSO

+- New Application OSF Rock Cut Crossing 52200 11/06/2008

86-02364-01 9951 Rock Cut Crossing Loves Park, lL6111-l

Attn: Victoria Kirnberger 9 Radiology Manager

New Application Advanced Diagnostics, SC 52200 1111 012005

86-02284-01 2320 W Peterson Ave Chiago, IL 60659-5242

Attn Aref Senno President

Page 13 of 33

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IEMA Division of Nuclear Safety New Licenses and Terminations by Month

Between 04/05/2005 and 05/1 512009

7/9/2009

Action Type Facility Schema Amnd Approved

New Application

86-02312-01

C.C. Support Properties, LLC d/b/a Illinois Cancer Care 8940 N Wood Sage Rd Peoria, IL 61615-7822

Attn: Peggy Ramsey

52200 11/21/2006

* Director of Operations

New Application Rosalind 71100 11/22/2006

North Chicago, 8 6 - 0 1 4 8 e 3333 Green

9% Attn: Rachel E Harrington Director, Environmental, Health, & Safet

New Application

86-02365-01

Petrochem Inspection Services, Inc.

1475 E. Sam Houston Pkwy South, Ste 100 Pasadena, TX 77503-231 3

Attn: Ronald J Hayden Comorate RSO

~~

87000 11/25/2008

New Application Northwest Healthcare Associates 52200 1 1 /29/2007

86-02343-01 1555 Earrington Rd Ste 23006 Hoffman Estates. IL 60169-1021

Attn: Daun Jaconetti Practice Administrator

New Application

86-02345-01 2160 S 1st Ave

Loyola Center for Heart and Vascular Medicine at Park Ridge

Maguire Center, Room 291 9-A Mawood, IL 60153-3328

Attn: Todd Senglaub

52200 11/29/2007

New Application TEAM Services, Inc 65000'

86-02362-01 717 SE 6th Street Des Moines, IA 50309-5200

Atin:

New Application V4 Construction, Inc. L - f-& l++4

86-02316-01 230 Westmore Meyers Rd /Z, 2 e Lombard, IL 60148-3041

/Vo W&fd--d-J- i2\rp-k4 Attn: Haseeb M Suhail

RSO

12/13/2006

New Application American Diagnostic Medicine

86-02318-01 960 N Industrial Dr Ste 7 Elmhurst, IL 60126-1119

52200 12/14/2006

Page 14 of 33

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IEMA Division of Nuclear Safety 7/9/2009

New Licenses and Terminations by Month Between 04/05/2005 and 05/15/2009

Action Type Facility S c h e m a Amnd Approved

Attn: Sam Kancherlappali President

New Application Nutrition Clinic, Nuclear Medicine, Inc. 52400 12/14/2007

86-02346-01 2355 S Arlington Heights Rd Ste 150 Arlington Heights, IL 60005-4506

Attn: Gautam Gupta Owner

New Application

86-02366-01 RR 1 Box267

Lafarge North America- Cave In Rock Quarry

Ford Ferry Road Cave In Rock. IL 62919-9761

~

12/15/2008 64000

9 Attn: Keith Conn

RSO

New Application

86-02367-01 2300 N Edward St

Cancer Care Specialists of Central IL Attn. Edward C. Elliott, M.D.

Decatur Memorial Hospital Decatur, IL 62526-4163

52200 12/15/2008

4 Attm Edward C Elliott

Radiation Oncologist

New Application Raymond G. Scott Cancer Care Center 551 00

86-02217-02 304 Randall Rd Geneva, I L 601 34-4200

Attn:

New Application

86-02370-01

Advanced Heart Care, L.L.C.

4600 Memorial Dr Ste W3 Medical Building Belleville, IL 62226-5366

Attn: Tom Schlarman

52200 12/18/2008

New Application

86-02287-01 PO Box 250

G. Rabine & Sons, Inc.

Spring Grove, IL 60081-0250

Attn: Gary L Treese Jr QC/QA Manager

~

65000

12/20/2005 New Application Sukhjit Singh Gill, M.D.S.C. 52400

86-02288-0 1 62 Baybrook Ln Oak Brook, lL60523-1640

I Attn: Sukhjit S Gill Owner

Page 15 of 33

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IEMA Division of Nuclear Safety New Licenses and Terminations by Month

Between 04/05/2005 and 0511 512009

7/9/2009

Schema Amnd Approved Action Type Facility

New Application Shared Imaging, LLC 68000 12/20/2007

86-02341 -01 801 Phoenk Lake Ave Streamwood, IL 601 07-2363

Attn: David Neally Senior VP

New Application Tazeweil County Asphalt 65000 12/20/2007

86-02350-01 23497 Ridge Rd East Peoria, IL 61 61 1-921 3

Attn: d

New Application Sung Sup Kim, MD, P.C. 52400 12/21/2006

86-0231 9-01 5140 N California Ave Ste G-465 Chicago, IL 60625-3645

Attn: SungSup Kim President

New Application Geotechnology, Inc. 29800 12/26/2007

86-02336-01 11812 Lackland Rd., Ste 150 St. Louis, MO 63146

Attn: Dale Smith Branch Manager

New Application Christ Brothers Products, LLC 65000 12/26/2007

86-02352-01 820 S Fritz St Lebanon, IL 62254-1720

Attn: Mark 0 Christ Member

01/06/2009 Termination iversity Health Systems

0 1 /07/2009 Termination iversity of Health Sciences

01/10/2006

86-01781-22