MINIMALLY INVASIVE THERAPY PARTNERS SC (NPI# 1659739910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659739910 |
| Entity Type | Organization |
| Organization Name | MINIMALLY INVASIVE THERAPY PARTNERS SC |
| Other Organization Name | MOBILE INTERVENTION AND DIAGNOSTIC |
| Practice Address |
5011 N Lincoln Ave Chicago IL 60625-6351 |
| Practice Telephone | 8448346362 |
| Practice Fax Number | 8554972932 |
| Mailing Telephone | 8448346362 |
| Mailing Fax Number | 8554972932 |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2017-03-01 |
| Authorized Official Name | DR. IFTIKHAR AHMAD (PRESIDENT AND CEO) |
| Authorized Official Telephone | 8448346362 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | IL | Suppliers |
| Other Name | Type Code |
|---|---|
| Mobile Intervention and Diagnostic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730622911 | Minimally Invasive Therapy Partners Sc | Clinic/Center | 5011 N Lincoln Ave, Chicago, IL 60625-6351 | 2016-11-21 |
| 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 |
| 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 |
| 1558600106 | Minimally Invasive Therapy Specialists Sc | Clinic/Center | 5011 N Lincoln Ave, Chicago, IL 60625-6351 | 2013-02-01 |
| 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 | 335V00000X |
| Grouping | Suppliers |
| Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639695257 | Go Diagnostics Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5862 N Lincoln Ave, Suite 4, Chicago, IL 60659 | 2017-08-15 |
| 1871869552 | Us Services | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6205 N Milwaukee Ave, Chicago, IL 60646-3730 | 2012-03-28 |
| 1497942478 | Continental Portable X-ray Service | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6016 W Barry Ave, Chicago, IL 60634-5105 | 2007-10-03 |
| 1154949329 | Apex Diagnostics Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6374 N Lincoln Ave Ste 310, Chicago, IL 60659-1283 | 2020-07-14 |
| 1700260577 | Medstar Diagnostic Services Incorporated | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6374 N Lincoln Ave Ste 310, Chicago, IL 60659-1283 | 2015-07-11 |
| 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 |
| 1720366701 | Dawn Diagnostics Imaging Group Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2900 W Peterson Ave, Suite 6, Chicago, IL 60659-3818 | 2011-07-25 |
| 1669705125 | Medlife Healthcare Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6374 N Lincoln Ave Ste 310, Chicago, IL 60659-1283 | 2009-09-15 |
| 1497918247 | Care Diagnostic Services LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 7459 N Western Ave, Chicago, IL 60645-1735 | 2008-07-02 |
| 1528229861 | Cal Devon Urgent Care Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6415 N California Ave, Chicago, IL 60645-5208 | 2008-06-19 |
| 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.