| Minimally Invasive Therapy Specialists Sc | |
|
5011 N Lincoln Ave Chicago IL 60625-6351 | |
| (844) 646-8763 | |
| (855) 497-2932 |
| Full Name | Minimally Invasive Therapy Specialists Sc |
|---|---|
| Speciality | Radiology - Vascular & Interventional Radiology |
| Location | 5011 N Lincoln Ave, Chicago, Illinois |
| Authorized Official Name and Position | Iftikhar Ahmad (PRESIDENT AND CEO) |
| Authorized Official Contact | 8446468763 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Minimally Invasive Therapy Specialists Sc 5011 N Lincoln Ave Chicago IL 60625-6351 Ph: (844) 646-8763 | Minimally Invasive Therapy Specialists Sc 5011 N Lincoln Ave Chicago IL 60625-6351 Ph: (844) 646-8763 |
| NPI Number | 1558600106 |
|---|---|
| Provider Enumeration Date | 02/01/2013 |
| Last Update Date | 10/18/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558600106 | NPI | - | NPPES |
| IL8727 | Other | IL | GROUP PTAN |
| 1922070457 | Other | IL | INDIVIDUAL NPI |
| 068824647 | Other | IL | INDIVIDUAL MEDICAID PROVIDER |
| 1558600106 | Other | IL | GROUP NPI |
| 027928G89 | Other | IL | INDIVIDUAL MEDICARE PTAN |
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