MEDICARE: UNITED DIAGNOSTIC SERVICES, LLC

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	:	1740589175
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITED DIAGNOSTIC SERVICES, LLC

Provider Business Mailing Address
First Line	:	5533 W 109TH ST STE 101
Second Line	:
City	:	OAK LAWN
State	:	IL
Zip	:	60453-5058
Country	:	US
Telephone Number	:	708-424-9405
Fax Number	:	708-424-8038

Provider Business Practice Location Address
First Line	:	6124 N MILWAUKEE AVE STE 2
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60646-3820
Country	:	US
Telephone Number	:	708-424-9405
Fax Number	:	708-424-8038

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SAMI BAIG
Credential	:
Telephone Number	:	708-424-9405

Provider Enumeration Date	:	03/24/2011
Last Update Date	:	01/26/2024

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Directions to “UNITED DIAGNOSTIC SERVICES, LLC ” Practice Location

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