Organization
PROFESSIONAL DIAGNOSTIC SERVICES,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD FELICELDA (ADMINISTRATOR)
(847) 802-2288
Entity
Organization
Contact information
Practice address
9213 PARKLANE AVE STE 1, FRANKLIN PARK, IL 60131-2837
(847) 227-8780
Mailing address
9213 PARKLANE AVE STE 1, FRANKLIN PARK, IL 60131-2837
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
03/24/2020
Last updated
03/24/2020
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