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General NPI Number Information
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NPI Number | 1912162496
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Entity Type | Organization
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Legal Business Name | PROGRESSIVE DIAGNOSTICS INC
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Dates
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Enumeration Date | 07/23/2008
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Last Update Date | 04/10/2024
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Provider Practice Location Address
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Address Line | 2646 W AUGUSTA BLVD UNIT 2
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City | CHICAGO
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State | IL
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Zip | 60622-6594
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Country | US
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Telephone | 630-946-4579
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Fax | 630-904-8091
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Provider Business Mailing Address
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Address Line | 2646 W AUGUSTA BLVD UNIT 2
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City | CHICAGO
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State | IL
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Zip | 60622-6594
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Country | US
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Telephone | 630-946-4579
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Fax | 630-206-1591
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Authorized Official
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Title or Position | PRESIDENT
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Name | KUMUD DHINGRA
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Credential |
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Telephone | 630-904-8091
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246XS1301X
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Taxonomy Name | Sonography Specialist/Technologist Cardiovascular
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 246XS1301X
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Taxonomy Name | Sonography Specialist/Technologist Cardiovascular
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License Number | 3927-1129
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License Number State | IL
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