Evergreen Mobile Imaging, INC

NPI #1245319219 in Glen Ellyn, Illinois

Provider Information

NPI Number: 1245319219
Entity Type: Organization
Organization Name: Evergreen Mobile Imaging, INC
Primary Specialty: Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Enumeration Date: Nov 2, 2006
Last Updated: Sep 15, 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	Taxonomy Code	Primary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	335V00000X	Primary

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