Healthcare Provider Details

I. General information

NPI: 1053984302
Provider Name (Legal Business Name): CAREPLUS DIAGNOSTIC SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2021
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2868 SKOKIE VALLEY RD STE 4
HIGHLAND PARK IL
60035-1012
US

IV. Provider business mailing address

5254 S 14TH ST
MILWAUKEE WI
53221-3862
US

V. Phone/Fax

Practice location:
  • Phone: 847-306-3340
  • Fax: 847-306-3475
Mailing address:
  • Phone: 847-306-3340
  • Fax: 847-306-3475

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335V00000X
TaxonomyPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
License Number
License Number State

VIII. Authorized Official

Name: SHAHID HAROON KHAN
Title or Position: MANAGING DIRECTOR
Credential:
Phone: 847-306-3340