MIDLICK'S MEDICAL IMAGING INC. NPI 1023178068

NPI Information

NPI: 1023178068
Provider Name: MIDLICK'S MEDICAL IMAGING INC.
Classification: Radiology - 2085U0001X
Entity Type: Organization

Specialization: Diagnostic Ultrasound

Address:
6686 DOUBLE EAGLE DR
UNIT 103
WOODRIDGE, IL
ZIP 60517
Phone: (630) 663-9811
Get Directions

MIDLICK'S MEDICAL IMAGING INC. is a diagnostic ultrasound radiology in Woodridge, IL. The provider is a Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. MIDLICK'S MEDICAL IMAGING INC. NPI is 1023178068. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

6686 DOUBLE EAGLE DR
UNIT 103
WOODRIDGE, IL
ZIP 60517-428
Phone: (630) 663-9811
Fax: (630) 663-9018

The provider's authorized official is David George Midlick .
The authorized official title is PRESIDENT OWNEROwner and has the following contact phone number (630) 663-9811.

The enumeration date for this NPI number is 12/11/2006 and was last updated on 1/11/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085U0001X	Radiology	Diagnostic Ultrasound			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	201811	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS
2	02230032	OTHER	ILLINOIS	BLUE CROSS BLUE SHIELD
3	=========001	MEDICAID	ILLINOIS
4	02230031	OTHER	ILLINOIS	BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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