Healthcare Provider Details

I. General information

NPI: 1053359018
Provider Name (Legal Business Name): U.S. DIAGNOSITICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1177 N HIGHLAND AVE STE. #202
AURORA IL
60506-2281
US

IV. Provider business mailing address

816 E WILSON AVE
LOMBARD IL
60148-4047
US

V. Phone/Fax

Practice location:
  • Phone: 815-254-1448
  • Fax:
Mailing address:
  • Phone: 630-776-5027
  • Fax: 630-495-3902

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number
License Number State

VIII. Authorized Official

Name: RABIA NAVEED
Title or Position: OWNER
Credential:
Phone: 815-854-1448