Organization
MINIMALLY INVASIVE THERAPY PARTNERS S.C.
Active
Other names
Mobile Intervention and Diagnostic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IFTIKHAR AHMAD M.D. (PRESIDENT)
(844) 834-6362
Entity
Organization
Contact information
Practice address
660 W WAYMAN ST, UNIT 204 B, CHICAGO, IL 60661-1296
(844) 834-6362
(855) 497-2932
Mailing address
5011 N LINCOLN AVE, CHICAGO, IL 60625-6351
(844) 834-6362
(708) 489-7989
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
261QR0208X
Mobile Radiology Clinic/Center
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
—
—
Other
Enumeration date
01/25/2013
Last updated
11/17/2016
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