Organization
MEDTEK DIAGNOSTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAQSOOD JAFRI MD (PRESIDENT)
(630) 747-3364
Entity
Organization
Contact information
Practice address
201 E ARMY TRAIL RD, STE 204, BLOOMINGDALE, IL 60108-2150
(630) 671-8346
(630) 671-8301
Mailing address
203 CHANTICLEER LN, HINSDALE, IL 60521-5022
(630) 747-3364
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001635998
BLUE CROSS BLUE SHIELD
IL
05
—
036099382
—
IL
Enumeration date
09/01/2006
Last updated
02/03/2009
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