Organization
NORTHSHORE IMAGING COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MASOOD SIDDIQUI (ADMINISTRATOR)
(773) 262-4432
Entity
Organization
Contact information
Practice address
7455 N WESTERN AVE, CHICAGO, IL 60645-1735
(773) 262-4432
(773) 262-4712
Mailing address
7455 N WESTERN AVE, CHICAGO, IL 60645-1735
(773) 262-4432
(773) 262-4712
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
—
—
2471S1302X
Sonography Radiologic Technologist
—
—
Other
Enumeration date
01/18/2007
Last updated
11/30/2007
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