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MINIMALLY INVASIVE THERAPY SPECIALISTS SC NPI 1558600106


NPI Information

NPI: 1558600106
Provider Name: MINIMALLY INVASIVE THERAPY SPECIALISTS SC

Doing Business As: MITS

Classification: Radiology - 2085R0204X
Entity Type: Organization

Specialization: Vascular & Interventional Radiology

Address:
5011 N LINCOLN AVE
CHICAGO, IL
ZIP 60625
Phone: (844) 646-8763
Get Directions

MINIMALLY INVASIVE THERAPY SPECIALISTS SC is a vascular and interventional radiology radiology in Chicago, IL. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. MINIMALLY INVASIVE THERAPY SPECIALISTS SC NPI is 1558600106. The provider is registered as an organization entity type.
The provider Is Doing Business As Mits.

The provider's business location address is:

5011 N LINCOLN AVE
CHICAGO, IL
ZIP 60625-351
Phone: (844) 646-8763
Fax: (855) 497-2932

The provider's authorized official is Iftikhar Ahmad .
The authorized official title is President And Ceo and has the following contact phone number (844) 646-8763.

The enumeration date for this NPI number is 2/1/2013 and was last updated on 10/18/2018.


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
1261Q00000XClinic/CenterNo
2261QR0200XClinic/CenterRadiologyNo
32085R0202XRadiologyDiagnostic RadiologyNo
42085R0204XRadiologyVascular & Interventional RadiologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1027928G89OTHERILLINOISINDIVIDUAL MEDICARE PTAN
2068824647OTHERILLINOISINDIVIDUAL MEDICAID PROVIDER
31922070457OTHERILLINOISINDIVIDUAL NPI
4IL8727OTHERILLINOISGROUP PTAN
51558600106OTHERILLINOISGROUP NPI
6=========OTHERILLINOISGROUP MEDICAID PROVIDER

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: 4/28/2024

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