Doctors Diagnostic Services, Inc. | |
9830 Ridgeland Ave Ste 3c Chicago Ridge IL 60415-2667 | |
(630) 440-7786 | |
Not Available |
Full Name | Doctors Diagnostic Services, Inc. |
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Speciality | Internal Medicine |
Location | 9830 Ridgeland Ave, Chicago Ridge, Illinois |
Authorized Official Name and Position | Moqueet Syed (PRESIDENT) |
Authorized Official Contact | 6304407786 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Doctors Diagnostic Services, Inc. 9830 Ridgeland Ave Ste 3c Chicago Ridge IL 60415-2667 Ph: (630) 440-7786 | Doctors Diagnostic Services, Inc. 9830 Ridgeland Ave Ste 3c Chicago Ridge IL 60415-2667 Ph: (630) 440-7786 |
NPI Number | 1770872806 |
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Provider Enumeration Date | 03/29/2011 |
Last Update Date | 03/29/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770872806 | NPI | - | NPPES |
036.084938 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036.084938 (Illinois) | Primary |
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