NPI 1003245085

Img MD, LLC

Organisation Ph.D. Medical Genetics Chicago, IL

Practice location

Address: 680 N Lake Shore Dr, Chicago, IL 60611-4546
Phone: (312) 981-4400

Authorised official

Name: Tracy Rady
Title: Billing Specialist
Phone: (847) 809-7381

Registered specialties

Ph.D. Medical Genetics Primary

Other Service Providers Taxonomy 170100000X

Other Medical Genetics, Ph.D. Medical Genetics providers in Illinois →

Registry record

NPI: 1003245085
Entity type: Organization
NPI issued: 11 Nov 2013
Record last updated: 11 Nov 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.