MINIMALLY INVASIVE THERAPY SPECIALISTS SC (NPI# 1558600106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558600106 |
| Entity Type | Organization |
| Organization Name | MINIMALLY INVASIVE THERAPY SPECIALISTS SC |
| Other Organization Name | MITS |
| Practice Address |
5011 N Lincoln Ave Chicago IL 60625-6351 |
| Practice Telephone | 8446468763 |
| Practice Fax Number | 8554972932 |
| Mailing Telephone | 8446468763 |
| Mailing Fax Number | 8554972932 |
| Enumeration Date | 2013-02-01 |
| Last Update Date | 2018-10-18 |
| Authorized Official Name | DR. IFTIKHAR AHMAD (PRESIDENT AND CEO) |
| Authorized Official Telephone | 8446468763 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| N | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities | ||
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | INDIVIDUAL MEDICAID PROVIDER | 068824647 | 01 |
| IL | INDIVIDUAL MEDICARE PTAN | 027928G89 | 01 |
| IL | GROUP PTAN | IL8727 | 01 |
| IL | GROUP NPI | 1558600106 | 01 |
| IL | INDIVIDUAL NPI | 1922070457 | 01 |
| Other Name | Type Code |
|---|---|
| MITS | Doing Business As Name - Organization |
| Street Address |
5011 N LINCOLN AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60625-6351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306847702 | George I. Salti | Surgery | 5011 N Lincoln Ave, Chicago, IL 60625-2611 | 2005-08-09 |
| 1730622911 | Minimally Invasive Therapy Partners Sc | Clinic/Center | 5011 N Lincoln Ave, Chicago, IL 60625-6351 | 2016-11-21 |
| 1659739910 | Minimally Invasive Therapy Partners Sc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5011 N Lincoln Ave, Chicago, IL 60625-6351 | 2016-02-02 |
| 1952609604 | Integrated Care and Wellness Center | Clinic/Center | 5011 N Lincoln Ave, Chicago, IL 60625-2611 | 2011-03-04 |
| 1255455366 | American Surgical Services, Inc | Clinic/Center | 5011 N Lincoln Ave, Chicago, IL 60625-2611 | 2007-03-16 |
| 1821104076 | University Surgical Consultants Sc | Specialist | 5011 N Lincoln Ave, Chicago, IL 60625-2611 | 2006-08-21 |
| 1922009059 | Spyridon P Theodorakis | Surgery | 5011 N Lincoln Ave, Chicago, IL 60625-2611 | 2005-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726615 | B Wise Rehabilitation Pllc | Physical Therapist | 4754 N Lincoln Ave, Fl 1, Chicago, IL 60625 | 2020-10-07 |
| 1700490448 | Anita Saini | Pharmacist | 5140 N California Ave, Chicago, Il 60625, Chicago, IL 60625 | 2020-09-01 |
| 1699303164 | Marina Karamanis | Student in an Organized Health Care Education/Training Program | Swedish Hospital, 5140 N. California Ave, Chicago, IL 60625 | 2020-03-31 |
| 1063050227 | Jacqueline Guadalupe Saldana | Behavioral Analyst | 8616 W Catalpa Ave, Suite 1106, Chicago, IL 60625 | 2019-12-18 |
| 1912557802 | Six Senses Therapy LLC | Social Worker | 2334 W. Lawrence Avenue, Suite 204c, Chicago, IL 60625 | 2019-09-13 |
| 1982266110 | Noreen Randhawa | Family Medicine | Swedish Hospital Part of North Shore, 5145 N. California Ave., Chicago, IL 60625 | 2019-07-09 |
| 1376102202 | Nita Gupta | Student in an Organized Health Care Education/Training Program | Graduate Medical Education Department, 5145 N. California Ave, Chicago, IL 60625 | 2019-06-13 |
| 1841763471 | Alexandra Taskier | Counselor | 5359 N Bowmanville Ave., Chicago, IL 60625 | 2019-01-07 |
| 1013490143 | Paula Bielnicka | Pharmacist | Swedish Covenant Hospital - Pharmacy, 5140 N California Ave, Chicago, IL 60625 | 2018-09-14 |
| 1902397078 | Rebecca Abraham | Hospitalist | 5145 N California Ave Ofc M331, Chicago, IL 60625 | 2018-05-24 |
| Find all providers in zip 60625 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261978 | Thorek Radiology Group Nfp | Radiology | 850 West Irving Park Road, Chicago, IL 60613 | 2020-10-08 |
| 1659930998 | Howard Simon Md PC | Radiology | 446 E Ontario St Ste 106, Chicago, IL 60611-7110 | 2019-06-11 |
| 1528440690 | Tarek Jazmati | Radiology | 1653 W Congress Pkwy # 181, Chicago, IL 60612-3833 | 2015-06-24 |
| 1316351232 | Smg Billing, LLC | Radiology | 1105 S. Western Ave., Chicago, IL 60612 | 2014-06-18 |
| 1013270982 | Sean David Pietrini | Radiology | 1500 W Monroe St, Apartment 118, Chicago, IL 60607 | 2012-06-16 |
| 1063649093 | Sreekumar Madassery | Radiology | 1725 W. Congress Parkway, Ste 450, Chicago, IL 60612 | 2009-06-17 |
| 1639228661 | Ulku C. Turba | Radiology | 1725 W Harrison St Ste 450, Chicago, IL 60612-3841 | 2007-01-09 |
| 1669586988 | Prabhu Mani Velan | Radiology | 2238 W Homer Street, Chicago, IL 60647 | 2006-08-17 |
| 1013926153 | Albert Nemcek | Radiology | 251 E Huron St Ste 4-710t, Chicago, IL 60611-2908 | 2006-08-07 |
| 1417934399 | Kenneth Pierce | Radiology | 521 W Grant Pl, Chicago, IL 60614-3705 | 2005-12-30 |
| 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.