Organization
MEDICAL IMAGING OF NORTHBROOK COURT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD A MINTZER MD (PRESIDENT)
(874) 509-1818
Entity
Organization
Contact information
Practice address
680 N LAKE SHORE DR, SUITE 115, CHICAGO, IL 60611-4546
(312) 915-0680
Mailing address
520 E 22ND ST, LOMBARD, IL 60148-6110
(630) 874-2542
(630) 874-2642
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
08/28/2009
Last updated
08/28/2009
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