MEDICARE: MEDLIFE HEALTHCARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335V00000X	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

General Provider Information

NPI Number	:	1669705125
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDLIFE HEALTHCARE INC

Provider Business Mailing Address
First Line	:	6374 N LINCOLN AVE STE 310
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60659-1283
Country	:	US
Telephone Number	:	773-539-4100
Fax Number	:	773-539-9400

Provider Business Practice Location Address
First Line	:	6374 N LINCOLN AVE STE 310
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60659-1283
Country	:	US
Telephone Number	:	773-539-4100
Fax Number	:	773-539-9400

Authorized Official
Title or Position	:	PRESIDENT
Name	:	AFROZ LATEEF
Credential	:
Telephone Number	:	773-539-4100

Provider Enumeration Date	:	09/15/2009
Last Update Date	:	08/22/2019

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Directions to “MEDLIFE HEALTHCARE INC ” Practice Location

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