Minimally Invasive Therapy Partners S.c.

NPI #1053659052 in Chicago, Illinois

Provider Information

NPI Number: 1053659052
Entity Type: Organization
Organization Name: Minimally Invasive Therapy Partners S.c.
Primary Specialty: Clinic/Center - Radiology
Enumeration Date: Jan 25, 2013
Last Updated: Nov 17, 2016

Practice Location

Address: 660 W WAYMAN ST
Address 2: UNIT 204 B
City: Chicago
State: Illinois
ZIP Code: 60661-1296
Phone: (844) 834-6362

Authorized Official

Name: DR. IFTIKHAR AHMAD, M.D.
Title: PRESIDENT
Phone: (844) 834-6362

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Radiology, Mobile — Radiology, Mobile	261QR0208X
Clinic/Center - Infusion Therapy — Infusion Therapy	261QI0500X
Clinic/Center - Medical Specialty — Medical Specialty	261QM2500X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	335V00000X
Clinic/Center - Radiology — Radiology	261QR0200X	Primary

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