Healthcare Provider Details

I. General information

NPI: 1154243848
Provider Name (Legal Business Name): ALC DIAGNOSTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2434 E DEMPSTER ST STE 110
DES PLAINES IL
60016-5339
US

IV. Provider business mailing address

2434 E DEMPSTER ST STE 110
DES PLAINES IL
60016-5339
US

V. Phone/Fax

Practice location:
  • Phone: 872-201-8642
  • Fax: 224-478-0065
Mailing address:
  • Phone: 872-201-8642
  • Fax: 224-478-0065

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: SYED HAQUE
Title or Position: CEO
Credential: M.D.
Phone: 872-201-8642