Organization
CHICAGO IMAGING LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARI DAVID MINTZ M.D. (PRESIDENT)
(773) 967-5407
Entity
Organization
Contact information
Practice address
2320 E 93RD ST, CHICAGO, IL 60617-3983
(773) 967-2000
Mailing address
2320 E 93RD ST, CHICAGO, IL 60617-3983
(773) 967-2000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01618831
BCBS OF ILLINOIS
IL
01
—
CI0302
RR MEDICARE
IL
Enumeration date
07/05/2006
Last updated
03/24/2014
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