Organization
INTEGRATIVE DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REHAN M MOHAMMED (OWNER/PRESIDENT)
(872) 325-4332
Entity
Organization
Contact information
Practice address
21237 S LA GRANGE RD STE 5, FRANKFORT, IL 60423-2047
(779) 900-8389
(779) 204-3903
Mailing address
21237 S LA GRANGE RD STE 5, FRANKFORT, IL 60423-2047
(779) 900-8389
(779) 204-3903
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/21/2021
Last updated
09/23/2024
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