Provider Demographics
NPI:1467734806
Name:AMP PARTNERS, LLC
Entity Type:Organization
Organization Name:AMP PARTNERS, LLC
Other - Org Name:SKAN NATIONAL RADIOLOGY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:
Authorized Official - Last Name:FARAG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:708-930-1420
Mailing Address - Street 1:7456 S STATE RD
Mailing Address - Street 2:
Mailing Address - City:BEDFORD PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60638-6623
Mailing Address - Country:US
Mailing Address - Phone:708-930-1420
Mailing Address - Fax:
Practice Address - Street 1:7456 S STATE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:BEDFORD PARK
Practice Address - State:IL
Practice Address - Zip Code:60638-6623
Practice Address - Country:US
Practice Address - Phone:708-930-1420
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-12
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology