Organization
SUBURBAN MOBILE ULTRASOUND SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED SIDDIQUI (PRESIDENT)
(773) 520-1981
Entity
Organization
Contact information
Practice address
2604 DEMPSTER ST, STE#112, PARK RIDGE, IL 60068-8412
(773) 520-1981
Mailing address
2604 DEMPSTER ST, STE#112, PARK RIDGE, IL 60068-8412
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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