Organization
MIDWEST DIAGNOSTIC PATHOLOGY SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IMAD Y. ALMANASEER M.D. (CHAIRMAN)
(847) 723-2210
Entity
Organization
Contact information
Practice address
1775 DEMPSTER ST, PARK RIDGE, IL 60068-1143
(847) 723-2210
Mailing address
520 E 22ND ST, LOMBARD, IL 60148-6110
(630) 874-2542
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
08/15/2005
Last updated
11/07/2014
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