# ATHLETIC IMAGING INC

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

## Provider details

- **NPI number:** 1215269196
- **Authorized official:** RAJ KHANNA MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (708) 493-0299

## Contact information

- **Practice address:** 2615 HARRISON ST, BELLWOOD, IL 60104-2450
- **Practice address phone:** (708) 493-0299
- **Practice address fax:** (708) 493-0594
- **Mailing address:** 2615 HARRISON ST, BELLWOOD, IL 60104-2450
- **Mailing address phone:** (708) 493-0299
- **Mailing address fax:** (708) 493-0594

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/03/2010
- **Last updated:** 02/03/2010