Organization
MINIMALLY INVASIVE THERAPY PARTNERS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMAD IFTIKAR MD (PRESIDENT)
(773) 550-5550
Entity
Organization
Contact information
Practice address
660 W WAYMAN ST, 204B, CHICAGO, IL 60661-1296
(773) 826-6300
Mailing address
660 W WAYMAN ST, 204B, CHICAGO, IL 60661-1296
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
01/29/2014
Last updated
01/29/2014
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