contact@imsillinois.com
(312) 796-9463
Innovative Management Solutions
About Us
About IMS
IMS History
Security Practices
Services
Medical billing
Client Intake Form
IMS Advantage
Careers
New client intake form
Welcome to IMS, we are excited to have you.
To begin the process, we ask you to please complete the required information.
Provider/Facility name(s)
Provider/Facility address
Provider/Facility TIN
Provider(s)/Facility NPI number
Provider/Facility UPIN (if any) number
Provider/Facility HMP/PPO/TPL/WC/DOL agreements (if any)
Copy of provider/facility W9 form
I agree to the
Privacy policy
and
Terms and conditions
Submit
Contact us
Let us be your partner in the development of your vision
Send us a message
I agree to the
Privacy policy
and
Terms and conditions
Submit