# MIDWEST DIAGNOSTIC INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740234384
- **Authorized official:** SYED RIAZUL HASSAN (PRESIDENT/ADMINISTRATOR)
- **Authorized official phone:** (773) 392-6888

## Contact information

- **Practice address:** 2600 W PETERSON AVE, CHICAGO, IL 60659-4098
- **Practice address phone:** (773) 944-5775
- **Practice address fax:** (773) 944-9779
- **Mailing address:** 2600 W PETERSON AVE, CHICAGO, IL 60659-4098
- **Mailing address phone:** (773) 944-5775
- **Mailing address fax:** (773) 944-9779

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/19/2006
- **Last updated:** 08/22/2020