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Organization
KENTON DIAGNOSTICS, INC
Active
Organization
KENTON DIAGNOSTICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BASSERA ZAFAR (PRESIDENT)
(847) 840-6761
Entity
Organization
Contact information
Practice address
6422 N WESTERN AVE, CHICAGO, IL 60645-5422
(773) 465-3500
Mailing address
PO BOX 4787, SKOKIE, IL 60076-4787
(847) 840-6761
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
07/01/2008
Last updated
07/01/2008
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