Provider Demographics
NPI:1770976979
Name:ECUAMACHINES INC.
Entity type:Organization
Organization Name:ECUAMACHINES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SONOGRAPHER
Authorized Official - Prefix:MR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:M
Authorized Official - Last Name:EGAS
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED US TECH
Authorized Official - Phone:773-971-6481
Mailing Address - Street 1:3149 S KARLOV AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60623-4818
Mailing Address - Country:US
Mailing Address - Phone:773-968-6549
Mailing Address - Fax:
Practice Address - Street 1:3149 S KARLOV AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60623-4818
Practice Address - Country:US
Practice Address - Phone:773-968-6549
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-11
Last Update Date:2015-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL132956261QR0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile