Nagamine, Wayde Hitoshi

Nagamine, Wayde Hitoshi is an individual health care provider with primary practice located at 3249 Oak Park Ave Metropolitan Advanced Radiological Services, Berwyn IL 60402-3429. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Neuroradiology is his primary health care specialty. Nagamine, Wayde Hitoshi can be contacted via phone (708) 783-2696.

Contact Information

Primary practice address
3249 Oak Park Ave Metropolitan Advanced Radiological Services Berwyn IL 60402-3429
Phone: (708) 783-2696
Fax: (708) 783-3164
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 036-116127 Illinois
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 093376 Ohio
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 13005 Nevada

Profile Details

NPI number 1144494584
LBN Legal business name Nagamine, Wayde Hitoshi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2008
Last updated Jun 10th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144494584 NPPES
Illinois MEDICAID 036116127

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