MINIMALLY INVASIVE THERAPY PARTNERS S.C. (NPI# 1053659052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053659052 |
| Entity Type | Organization |
| Organization Name | MINIMALLY INVASIVE THERAPY PARTNERS S.C. |
| Other Organization Name | MOBILE INTERVENTION AND DIAGNOSTIC |
| Practice Address |
660 W Wayman St Unit 204 B Chicago IL 60661-1296 |
| Mailing Address |
5011 N Lincoln Ave Chicago IL 60625-6351 |
| Practice Telephone | 8448346362 |
| Practice Fax Number | 8554972932 |
| Mailing Telephone | 8448346362 |
| Mailing Fax Number | 7084897989 |
| Enumeration Date | 2013-01-25 |
| Last Update Date | 2016-11-17 |
| Authorized Official Name | DR. IFTIKHAR AHMAD (PRESIDENT) |
| Authorized Official Telephone | 8448346362 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
Ambulatory Health Care Facilities | ||
| N | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
Ambulatory Health Care Facilities | ||
| N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities | ||
| N | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers | ||
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Mobile Intervention and Diagnostic | Doing Business As Name - Organization |
| Street Address |
660 W WAYMAN ST UNIT 204 B |
| City | CHICAGO |
| State | IL |
| Zip Code | 60661-1296 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922070457 | Iftikhar Ahmad | Specialist | 660 W Wayman St, Unit 204 B, Chicago, IL 60661-1296 | 2006-02-07 |
| 1033532973 | Minimally Invasive Therapy Partners Sc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 660 W Wayman St, 204b, Chicago, IL 60661-1296 | 2014-01-29 |
| 1306161393 | Vikram Pancholi | Occupational Therapist | 660 W Wayman St, #304, Chicago, IL 60661-1296 | 2010-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053957993 | Safer Foundation | Clinic/Center | 769 W Jackson, Unit G, Chicago, IL 60661 | 2019-11-26 |
| 1174003644 | Safer Foundation | Clinic/Center | 571 W Jackson Blvd, Chicago, IL 60661 | 2018-08-15 |
| 1154835932 | Kathleen Emery | Psychologist | 555 W Jackson Blvd Ste 700, Chicago, IL 60661 | 2017-11-30 |
| 1407384886 | Dana M Trotta | Physical Therapist | 500 W Madison St # C024, Chicago, IL 60661 | 2017-05-30 |
| 1003356874 | Carcena Harvey-burns | Nurse Practitioner | 549 W Randolph St, Chicago, IL 60661 | 2017-02-27 |
| 1962949610 | H & U of West Loop LLC | Dentist | 207 S. Halsted St., Chicago, IL 60661 | 2017-01-19 |
| 1851700066 | Lauren Lew | Physician Assistant | 555 West Madison St. Apt 4903, Chicago, IL 60661 | 2014-08-13 |
| 1306114699 | Telos Therapy, LLC | Physical Therapist | 651 W Washington Blvd Ste 305, Chicago, IL 60661 | 2011-12-01 |
| 1912288622 | Peter Cuauhtemoc Shinnick | Pharmacist | 111 S Halsted, Chicago, IL 60661 | 2011-09-08 |
| 1619292570 | Ramandeep Kaur | Family Medicine | 1717 W. Congress Parkway Kellogg Suite 1125, Rush University Medical Center, Chicago, IL 60661 | 2010-04-05 |
| Find all providers in zip 60661 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992349724 | Home Diagnostics Plus LLC | Clinic/Center | 2154 W Rosemont Ave Ste 2f, Chicago, IL 60659-3226 | 2019-11-05 |
| 1861957144 | Rsr Medical | Clinic/Center | 1509 N Western Ave Unit 404, Chicago, IL 60622-1747 | 2019-01-31 |
| 1578920401 | Hope Women's Imaging and Medical Center, LLC | Clinic/Center | 3517 W Devon Ave, Chicago, IL 60659-1305 | 2016-01-22 |
| 1679996482 | Vision Imaging Professionals | Clinic/Center | 833 W 15th Pl Unit 314, Chicago, IL 60608-1848 | 2014-01-29 |
| 1265765218 | 4365 Archer Mri, LLC | Clinic/Center | 4365 South Archer Avenue, Chicago, IL 60632 | 2009-09-09 |
| 1881827251 | Archer Kedzie Imaging LLC | Clinic/Center | 4365 S Archer Ave, Chicago, IL 60632-2826 | 2009-09-01 |
| 1386767937 | Resurrection Services | Clinic/Center | 3101 N Harlem Ave, Resurrection Open Mri Imaging Center, Chicago, IL 60634-4532 | 2007-04-09 |
| 1821132127 | Advanced Diagnostics, Sc | Clinic/Center | 2300 W. Peterson Avenue, Chicago, IL 60659-5242 | 2007-02-19 |
| 1306873377 | Pri Diagnostics, LLC. | Clinic/Center | 1456 Momentum Pl, Chicago, IL 60689-5314 | 2006-06-27 |
| 1366490021 | Hawthorne Works Medical Imaging, LLC | Clinic/Center | 4701 W Cermak Rd, Chicago, IL 60804-2508 | 2006-05-05 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.