# CONTINENTAL PORTABLE X-RAY SERVICE

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

## Provider details

- **NPI number:** 1497942478
- **Authorized official:** TEOFILA GONZALES MESINA (ADMINISTRATOR)
- **Authorized official phone:** (773) 622-1600

## Contact information

- **Practice address:** 6016 W BARRY AVE, CHICAGO, IL 60634-5105
- **Practice address phone:** (773) 818-6775
- **Practice address fax:** (773) 622-8608
- **Mailing address:** 6016 W BARRY AVE, CHICAGO, IL 60634-5105
- **Mailing address phone:** (773) 818-6775
- **Mailing address fax:** (773) 622-8608

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | IL | Yes |

## Other

- **Enumeration date:** 10/03/2007
- **Last updated:** 04/20/2008
