Healthcare Provider Details

I. General information

NPI: 1417018318
Provider Name (Legal Business Name): MEDICAL IMAGING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7531 S STONY ISLAND AVE
CHICAGO IL
60649-3954
US

IV. Provider business mailing address

7531 S STONY ISLAND AVE
CHICAGO IL
60649-3954
US

V. Phone/Fax

Practice location:
  • Phone: 773-947-7781
  • Fax: 773-947-7792
Mailing address:
  • Phone: 773-947-7781
  • Fax: 773-947-7792

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1200X
TaxonomyMagnetic Resonance Imaging (MRI) Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. PETER E FRIEDELL
Title or Position: PRESIDENT
Credential: M. D.
Phone: 773-947-7781