Evergreen Mobile Imaging, INC
NPI #1104998806 in Glen Ellyn, Illinois
Provider Information
- NPI Number
- 1104998806
- Entity Type
- Organization
- Organization Name
- Evergreen Mobile Imaging, INC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Nov 15, 2006
- Last Updated
- Sep 13, 2008
Practice Location
- Address
- 799 ROOSEVELT RD
- Address 2
- BLDG#3 SUITE#005
- City
- Glen Ellyn
- State
- Illinois
- ZIP Code
- 60137-5908
- Phone
- (630) 790-3644
Authorized Official
- Name
- MR. MOHAMMED A ALEEM
- Title
- PRESIDENT
- Phone
- (630) 790-3644
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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