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Organization

MEDICAL IMAGING EXABLATION OF CHICAGO LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD A MINTZER M.D. (CHAIRMAN)
(847) 509-1818
Entity
Organization

Contact information

Practice address
1182 NORTHBROOK CT, NORTHBROOK, IL 60062-1435
(847) 509-1818
Mailing address
520 E 22ND ST, LOMBARD, IL 60148-6110
(630) 874-2542

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Enumeration date
03/15/2007
Last updated
07/16/2007
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