Healthcare Provider Details
I. General information
NPI: 1750108684
Provider Name (Legal Business Name): MSHH ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/23/2024
Last Update Date: 09/23/2024
Certification Date: 09/23/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
999 OAKMONT PLAZA DR STE 600
WESTMONT IL
60559-1374
US
IV. Provider business mailing address
3 GRANT SQ UNIT 145
HINSDALE IL
60521-3351
US
V. Phone/Fax
- Phone: 630-325-6300
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0202X |
| Taxonomy | Diagnostic Radiology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
VARUN
BATRA
Title or Position: ADMINISTRATOR
Credential:
Phone: 630-258-2384