OrganizationActive
Dental Diagnostic Imaging
NPI 1942653738 · Oral and Maxillofacial Radiology Dentistry · Chicago, IL
Provider details
- NPI number
- 1942653738
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Radiology DentistryDental Providers
- Authorized official
- Mitra Sadrameli, President
- License
- 019.030434 (IL)
Mailing address
1201 S Prairie Ave
Chicago, IL 60605-3325
Registry dates
- Enumerated
- 2016-07-18
- Last updated
- 2016-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.