# MIDWEST IMAGING & DIAGNOSTIC CENTER INC

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

## Provider details

- **NPI number:** 1902844541
- **Authorized official:** SULTAN TAHER (OWNER)
- **Authorized official phone:** (708) 423-9982

## Contact information

- **Practice address:** 5702 W 95TH ST, SUITE A, OAK LAWN, IL 60453-2345
- **Practice address phone:** (708) 423-9982
- **Practice address fax:** (708) 423-9984
- **Mailing address:** 5702 W 95TH ST, SUITE A, OAK LAWN, IL 60453-2345
- **Mailing address phone:** (708) 423-9982
- **Mailing address fax:** (708) 423-9984

## Taxonomy

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

## Other

- **Enumeration date:** 06/04/2006
- **Last updated:** 03/20/2024