MEDICARE: U.S. DIAGNOSITICS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085U0001X	Diagnostic Ultrasound Physician

General Provider Information

NPI Number	:	1053359018
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	U.S. DIAGNOSITICS

Provider Business Mailing Address
First Line	:	816 E WILSON AVE
Second Line	:
City	:	LOMBARD
State	:	IL
Zip	:	60148-4047
Country	:	US
Telephone Number	:	630-776-5027
Fax Number	:	630-495-3902

Provider Business Practice Location Address
First Line	:	1177 N HIGHLAND AVE
Second Line	:	STE. #202
City	:	AURORA
State	:	IL
Zip	:	60506-2281
Country	:	US
Telephone Number	:	815-254-1448
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	RABIA NAVEED
Credential	:
Telephone Number	:	815-854-1448

Provider Enumeration Date	:	06/03/2006
Last Update Date	:	08/22/2020

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