Organization
LIBERTYVILLE IMAGING ASSOCIATES, INC
Active
Other names
Libertyville Imaging Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHOUKATH AHMED (DIRECTOR)
(847) 549-8000
Entity
Organization
Contact information
Practice address
333 PETERSON RD, SUITE 230, LIBERTYVILLE, IL 60048-1085
(847) 549-8000
(847) 549-8080
Mailing address
333 PETERSON RD, SUITE 230, LIBERTYVILLE, IL 60048-1085
(847) 549-8000
(847) 549-8080
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
IL
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Enumeration date
08/29/2005
Last updated
01/14/2026
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