Organization
MEDICAL DIAGNOSTIC SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAMS U SIDDIQUI (PRESIDENT)
(847) 626-0800
Entity
Organization
Contact information
Practice address
3701 JARVIS AVE, SKOKIE, IL 60076-4019
(847) 626-0800
(847) 626-0819
Mailing address
3701 JARVIS AVE, SKOKIE, IL 60076-4019
(847) 626-0800
(847) 626-0819
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1628995
BCBSIL
IL
Enumeration date
12/11/2006
Last updated
07/21/2022
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