Healthcare Provider Details

I. General information

NPI: 1720214109
Provider Name (Legal Business Name): ATTIC DIAGNOSTIC SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2009
Last Update Date: 03/03/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6720 N SHERIDAN RD SUITE.201
CHICAGO IL
60626-4572
US

IV. Provider business mailing address

6720 N SHERIDAN RD SUITE.201
CHICAGO IL
60626-4572
US

V. Phone/Fax

Practice location:
  • Phone: 773-818-3970
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2471S1302X
TaxonomySonography Radiologic Technologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code246XS1301X
TaxonomySonography Specialist/Technologist Cardiovascular
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2471V0105X
TaxonomyVascular Sonography Radiologic Technologist
License Number
License Number State

VIII. Authorized Official

Name: JAWEED NAWAZ
Title or Position: OWNER
Credential: RDMS,RDCS,RCS,RVT
Phone: 773-818-3970