# MIDLICK'S MEDICAL IMAGING INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023178068
- **Authorized official:** DAVID GEORGE MIDLICK (PRESIDENT OWNER)
- **Authorized official phone:** (630) 663-9811

## Contact information

- **Practice address:** 6686 DOUBLE EAGLE DR, UNIT 103, WOODRIDGE, IL 60517-5428
- **Practice address phone:** (630) 663-9811
- **Practice address fax:** (630) 663-9018
- **Mailing address:** 6686 DOUBLE EAGLE DR, UNIT 103, WOODRIDGE, IL 60517-5428
- **Mailing address phone:** (630) 663-9811
- **Mailing address fax:** (630) 663-9018

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085U0001X | Diagnostic Ultrasound Physician | — | NULL | Yes |
| 2085U0001X | Diagnostic Ultrasound Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/11/2006
- **Last updated:** 01/11/2017
