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Organization
MINIMALLY INVASIVE THERAPY SPECIALISTS SC
Active
Organization
MINIMALLY INVASIVE THERAPY SPECIALISTS SC
Active
Other names
MITS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IFTIKHAR AHMAD MD (PRESIDENT AND CEO)
(844) 646-8763
Entity
Organization
Contact information
Practice address
5011 N LINCOLN AVE, CHICAGO, IL 60625-6351
(844) 646-8763
(855) 497-2932
Mailing address
5011 N LINCOLN AVE, CHICAGO, IL 60625-6351
(844) 646-8763
(855) 497-2932
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
NULL
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
NULL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
261Q00000X
Clinic/Center
—
NULL
261QR0200X
Radiology Clinic/Center
—
NULL
Other
Enumeration date
02/01/2013
Last updated
10/18/2018
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