Organization
US SERVICES
Active
Other names
US Diagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
HUSSAIN M GHALIB (PRESIDENT)
(773) 775-1670
Entity
Organization
Contact information
Practice address
6259 W HIGGINS AVE, CHICAGO, IL 60630-1846
(773) 775-1670
(773) 775-1682
Mailing address
6259 W HIGGINS AVE, CHICAGO, IL 60630-1846
(773) 775-1670
(773) 775-1682
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01635044
BLUE CROSS BLUE SHIELD OF ILLINOIS
IL
01
—
DC5948
RAILROAD MEDICARE
IL
Enumeration date
06/03/2008
Last updated
12/21/2012
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