Organization
PRECISION DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALCOLM HERZOG (MANAGER)
(708) 380-7028
Entity
Organization
Contact information
Practice address
18623 81ST AVE, TINLEY PARK, IL 60487-6279
(708) 712-7615
Mailing address
18623 81ST AVE, TINLEY PARK, IL 60487-6279
(708) 712-7615
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
08/09/2012
Last updated
08/09/2012
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