Chicago Maxillofacial Imaging

NPI #1386818466 in Chicago, Illinois

Provider Information

NPI Number: 1386818466
Entity Type: Organization
Organization Name: Chicago Maxillofacial Imaging
Subpart: Yes (part of a larger organization)
Parent Organization: THE LINCOLN PARK INSTITUTE FOR ORAL AND MAXILLOFACIAL SURGERY
Primary Specialty: Radiologic Technologist - Computed Tomography
Enumeration Date: Apr 18, 2008
Last Updated: Apr 18, 2008

Practice Location

Address: 2449 N LINCOLN AVE
City: Chicago
State: Illinois
ZIP Code: 60614-2414
Phone: (773) 327-2400

Authorized Official

Name: MRS. LIZBETH CANALES
Title: OFFICE MANAGER
Phone: (773) 327-2400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Radiologic Technologist - Computed Tomography — Computed Tomography	2471C3401X	Primary

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