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Organization
MINIMALLY INVASIVE THERAPY PARTNERS S.C.
Active
Organization
MINIMALLY INVASIVE THERAPY PARTNERS S.C.
Active
Other names
Mobile Intervention and Diagnostic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IFTIKHAR AHMAD M.D. (PRESIDENT)
(844) 834-6362
Entity
Organization
Contact information
Practice address
660 W WAYMAN ST, UNIT 204 B, CHICAGO, IL 60661-1296
(844) 834-6362
(855) 497-2932
Mailing address
5011 N LINCOLN AVE, CHICAGO, IL 60625-6351
(844) 834-6362
(708) 489-7989
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
261QR0208X
Mobile Radiology Clinic/Center
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
—
—
Other
Enumeration date
01/25/2013
Last updated
11/17/2016
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