Organization
EVERGREEN MOBILE IMAGING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOHAMMED A ALEEM (PRESIDENT)
(630) 790-3644
Entity
Organization
Contact information
Practice address
799 ROOSEVELT RD, BLDG#3 SUITE#005, GLEN ELLYN, IL 60137-5908
(630) 790-3644
(630) 790-3645
Mailing address
799 ROOSEVELT RD, BLDG#3 SUITE#005, GLEN ELLYN, IL 60137-5908
(630) 790-3644
(630) 790-3645
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/15/2006
Last updated
09/13/2008
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