MEDICARE: US SERVICES

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	335V00000X	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

General Provider Information

NPI Number	:	1871869552
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	US SERVICES

Provider Business Mailing Address
First Line	:	6205 N MILWAUKEE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60646-3730
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6205 N MILWAUKEE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60646-3730
Country	:	US
Telephone Number	:	773-775-1670
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. HUSSAIN GHALIB
Credential	:
Telephone Number	:	773-775-1670

Provider Enumeration Date	:	03/28/2012
Last Update Date	:	03/28/2012

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Directions to “US SERVICES ” Practice Location

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