Organization
LINCOLN ADVANCED DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD KHAMIS M.D. (PRESIDENT)
(773) 353-5047
Entity
Organization
Contact information
Practice address
5354 N LINCOLN AVE, CHICAGO, IL 60625-2316
(773) 353-5047
(312) 465-1402
Mailing address
5354 N LINCOLN AVE, CHICAGO, IL 60625-2316
(773) 353-5047
(312) 465-1402
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
IL
Other
Enumeration date
04/15/2013
Last updated
04/15/2013
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