Organization
EXCELLENT DIAGNOSTIC IMAGING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHSIN SHAMSI (ADMINISTRATOR)
(708) 364-1205
Entity
Organization
Contact information
Practice address
14489 JOHN HUMPHREY DR, SUITE 1-SC, ORLAND PARK, IL 60462-2637
(708) 364-1205
(708) 364-1265
Mailing address
14489 JOHN HUMPHREY DR, SUITE 1-SC, ORLAND PARK, IL 60462-2637
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/22/2011
Last updated
10/01/2022
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