OrganizationActive
Img MD, LLC
NPI 1003245085 · Ph.D. Medical Genetics · Chicago, IL
Provider details
- NPI number
- 1003245085
- Entity type
- Organization
- Primary specialty
- Ph.D. Medical GeneticsOther Service Providers
- Authorized official
- Tracy Rady, Billing Specialist
Mailing address
680 N Lake Shore Dr
Chicago, IL 60611-4546
Registry dates
- Enumerated
- 2013-11-11
- Last updated
- 2013-11-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.