Organization
IMG MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACY RADY (BILLING SPECIALIST)
(847) 809-7381
Entity
Organization
Contact information
Practice address
680 N LAKE SHORE DR, CHICAGO, IL 60611-4546
(312) 981-4400
Mailing address
680 N LAKE SHORE DR, CHICAGO, IL 60611-4546
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
—
—
Other
Enumeration date
11/11/2013
Last updated
11/11/2013
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