Organization
IMMACULATE MEDICAL IMAGING SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHIT MENDI (PRESIDENT OWNER)
(312) 804-9878
Entity
Organization
Contact information
Practice address
1450 BUSCH PKWY STE 107, BUFFALO GROVE, IL 60089-4541
(312) 804-9878
Mailing address
1450 BUSCH PKWY STE 107, BUFFALO GROVE, IL 60089-4541
(312) 804-9878
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
09/08/2023
Last updated
10/17/2023
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