Organization
DIAGNOSTICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DREW EDWARD ROSKOS R.R.T. (OWNER/PRESIDENT)
(708) 560-7316
Entity
Organization
Contact information
Practice address
17047 THACKERY ST, OAK FOREST, IL 60452-4453
(708) 560-7316
(708) 560-7346
Mailing address
17047 THACKERY ST, OAK FOREST, IL 60452-4453
(708) 560-7316
(708) 560-7346
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1670467
BLUE CROSS/BLUE
IL
Enumeration date
05/17/2006
Last updated
08/22/2020
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