Organization
CARE DIAGNOSTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NOMAAN M AZEEZ (ADMINISTRATOR)
(773) 338-3344
Entity
Organization
Contact information
Practice address
7459 N WESTERN AVE, CHICAGO, IL 60645-1735
(773) 338-3344
(773) 338-3355
Mailing address
7459 N WESTERN AVE, CHICAGO, IL 60645-1735
(773) 338-3344
(773) 338-3355
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01636375
BCBS
IL
Enumeration date
03/13/2007
Last updated
02/13/2012
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