Medical Imaging Exablation of Chicago LLC
NPI #1790819522 in Northbrook, Illinois
Provider Information
- NPI Number
- 1790819522
- Entity Type
- Organization
- Organization Name
- Medical Imaging Exablation of Chicago LLC
- Primary Specialty
- Radiology - Diagnostic Radiology
- Enumeration Date
- Mar 15, 2007
- Last Updated
- Jul 16, 2007
Practice Location
- Address
- 1182 NORTHBROOK CT
- City
- Northbrook
- State
- Illinois
- ZIP Code
- 60062-1435
- Phone
- (847) 509-1818
Authorized Official
- Name
- RICHARD A MINTZER, M.D.
- Title
- CHAIRMAN
- Phone
- (847) 509-1818
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
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