Organization
CHICAGO DIAGNOSTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHUSHAL PATIL (OWNER)
(773) 278-7090
Entity
Organization
Contact information
Practice address
818 N CALIFORNIA AVE, CHICAGO, IL 60622-8336
(773) 278-7090
Mailing address
818 N CALIFORNIA AVE, CHICAGO, IL 60622-8336
(773) 278-7090
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
—
—
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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