Healthcare Provider Details

I. General information

NPI: 1598088031
Provider Name (Legal Business Name): GLENVIEW DIAGNOSTICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2010
Last Update Date: 03/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6333 N CALIFORNIA AVE STE 101
CHICAGO IL
60659-1701
US

IV. Provider business mailing address

6333 N CALIFORNIA AVE STE 101
CHICAGO IL
60659-1701
US

V. Phone/Fax

Practice location:
  • Phone: 847-840-6761
  • Fax: 847-763-9753
Mailing address:
  • Phone: 847-840-6761
  • Fax: 847-763-9753

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: MRS. FAHMINA SHEIKH
Title or Position: PRESIDENT
Credential:
Phone: 847-840-6761