Healthcare Provider Details

I. General information

NPI: 1508777996
Provider Name (Legal Business Name): TRUE CARE DIAGNOSTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6954 W TOUHY AVE APT 2R
NILES IL
60714-4547
US

IV. Provider business mailing address

6954 W TOUHY AVE APT 2R
NILES IL
60714-4547
US

V. Phone/Fax

Practice location:
  • Phone: 312-358-6968
  • Fax:
Mailing address:
  • Phone: 312-358-6968
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: FNU SYED AZHARUDDIN
Title or Position: OWNER
Credential:
Phone: 312-358-6968