| Chicago Diagnostic Services Inc | |
|
5234 Lee St Skokie IL 60077-2166 | |
| (773) 997-4590 | |
| Not Available |
| Full Name | Chicago Diagnostic Services Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5234 Lee St, Skokie, Illinois |
| Authorized Official Name and Position | Shazia Lodhi (PRESIDENT) |
| Authorized Official Contact | 7739974590 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chicago Diagnostic Services Inc 5234 Lee St Skokie IL 60077-2166 Ph: (773) 997-4590 | Chicago Diagnostic Services Inc 5234 Lee St Skokie IL 60077-2166 Ph: (773) 997-4590 |
| NPI Number | 1346739695 |
|---|---|
| Provider Enumeration Date | 05/02/2018 |
| Last Update Date | 05/02/2018 |
| Medicare PECOS PAC ID | 8426313859 |
|---|---|
| Medicare Enrollment ID | O20180605002428 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346739695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Gustavo E Saravia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659353621 PECOS PAC ID: 6406744101 Enrollment ID: I20040305000106 |
| Provider Name | Maan Sami El Khadra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316946700 PECOS PAC ID: 4385536937 Enrollment ID: I20040327000290 |
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