# MINIMALLY INVASIVE THERAPY SPECIALISTS SC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MITS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558600106
- **Authorized official:** DR. IFTIKHAR AHMAD MD (PRESIDENT AND CEO)
- **Authorized official phone:** (844) 646-8763

## Contact information

- **Practice address:** 5011 N LINCOLN AVE, CHICAGO, IL 60625-6351
- **Practice address phone:** (844) 646-8763
- **Practice address fax:** (855) 497-2932
- **Mailing address:** 5011 N LINCOLN AVE, CHICAGO, IL 60625-6351
- **Mailing address phone:** (844) 646-8763
- **Mailing address fax:** (855) 497-2932

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QR0200X | Radiology Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 02/01/2013
- **Last updated:** 10/18/2018