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General NPI Number Information
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NPI Number | 1932232873
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Entity Type | Organization
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Legal Business Name | CARE DIAGNOSTIC SERVICES LLC
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 02/13/2012
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Provider Practice Location Address
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Address Line | 7459 N WESTERN AVE
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City | CHICAGO
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State | IL
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Zip | 60645-1735
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Country | US
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Telephone | 773-338-3344
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Fax | 773-338-3355
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Provider Business Mailing Address
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Address Line | 7459 N WESTERN AVE
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City | CHICAGO
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State | IL
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Zip | 60645-1735
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Country | US
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Telephone | 773-338-3344
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Fax | 773-338-3355
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. NOMAAN M AZEEZ
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Credential |
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Telephone | 773-338-3344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number |
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License Number State |
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