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Organization
MEDSTAR DIAGNOSTIC SERVICES INCORPORATED
Active
Organization
MEDSTAR DIAGNOSTIC SERVICES INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUNAWAR KAMAL (PRESIDENT)
(773) 396-9655
Entity
Organization
Contact information
Practice address
6374 N LINCOLN AVE STE 310, CHICAGO, IL 60659-1283
(773) 396-9655
Mailing address
6374 N LINCOLN AVE STE 310, CHICAGO, IL 60659-1283
(773) 396-9655
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/18/2015
Last updated
10/04/2019
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