Organization
METRO PORTABLE X-RAY SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MILROY S EMMANUEL MD (PRESIDENT)
(773) 736-1402
Entity
Organization
Contact information
Practice address
4955 N MILWAUKEE AVE, SUITE 1, CHICAGO, IL 60630-2286
(773) 736-1402
(773) 736-1403
Mailing address
4955 N MILWAUKEE AVE, SUITE 1, CHICAGO, IL 60630-2286
(773) 736-1402
(773) 736-1403
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
042006693036046595
IL
Other
Enumeration date
05/12/2007
Last updated
08/22/2020
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