Organization
MINIMALLY INVASIVE THERAPY PARTNERS SC
Active
Other names
Mobile Intervention and Diagnostic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IFTIKHAR AHMAD MD (PRESIDENT AND CEO)
(844) 834-6362
Entity
Organization
Contact information
Practice address
5011 N LINCOLN AVE, CHICAGO, IL 60625-6351
(844) 834-6362
(855) 497-2932
Mailing address
5011 N LINCOLN AVE, CHICAGO, IL 60625-6351
(844) 834-6362
(855) 497-2932
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
11/21/2016
Last updated
11/21/2016
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