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MINIMALLY INVASIVE THERAPY PARTNERS S.C. NPI 1053659052


NPI Information

NPI: 1053659052
Provider Name: MINIMALLY INVASIVE THERAPY PARTNERS S.C.

Doing Business As: MOBILE INTERVENTION AND DIAGNOSTIC

Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
660 W WAYMAN ST
UNIT 204 B
CHICAGO, IL
ZIP 60661
Phone: (844) 834-6362
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MINIMALLY INVASIVE THERAPY PARTNERS S.C. is a radiology clinic center in Chicago, IL. MINIMALLY INVASIVE THERAPY PARTNERS S.C. NPI is 1053659052. The provider is registered as an organization entity type.
The provider Is Doing Business As Mobile Intervention And Diagnostic.

The provider's business location address is:

660 W WAYMAN ST
UNIT 204 B
CHICAGO, IL
ZIP 60661-296
Phone: (844) 834-6362
Fax: (855) 497-2932

The provider's authorized official is Iftikhar Ahmad .
The authorized official title is President and has the following contact phone number (844) 834-6362.

The enumeration date for this NPI number is 1/25/2013 and was last updated on 11/17/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0208XClinic/CenterRadiology, MobileNo
2261QI0500XClinic/CenterInfusion TherapyNo
3261QM2500XClinic/CenterMedical SpecialtyNo
4335V00000XPortable X-ray and/or Other Portable Diagnostic Imaging SupplierNo
5261QR0200XClinic/CenterRadiologyYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.