Organization
CONTINENTAL PORTABLE X-RAY SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEOFILA GONZALES MESINA (ADMINISTRATOR)
(773) 622-1600
Entity
Organization
Contact information
Practice address
6016 W BARRY AVE, CHICAGO, IL 60634-5105
(773) 818-6775
(773) 622-8608
Mailing address
6016 W BARRY AVE, CHICAGO, IL 60634-5105
(773) 818-6775
(773) 622-8608
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
IL
Other
Enumeration date
10/03/2007
Last updated
04/20/2008
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