Healthcare Provider Details

I. General information

NPI: 1679613251
Provider Name (Legal Business Name): CHICAGO SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13255 SW 137TH AVE SUITE 206
MIAMI FL
33186-5326
US

IV. Provider business mailing address

13255 SW 137TH AVE SUITE 206
MIAMI FL
33186-5326
US

V. Phone/Fax

Practice location:
  • Phone: 786-693-3710
  • Fax:
Mailing address:
  • Phone: 786-693-3710
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2471S1302X
TaxonomySonography Radiologic Technologist
License Number
License Number State

VIII. Authorized Official

Name: MR. JOSE D NEGRON
Title or Position: PRESIDENT
Credential:
Phone: 786-693-3710