Professional Diagnostic Service, SC
Professional Diagnostic Service, SC is a Community/Behavioral Health Agency in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2008.
- Licensed in
- IL
- In the registry since
- 2008
Practice location Address checks out
821 W Van Buren StChicago, IL 60607-3517
Phone: (312) 491-0404
Fax: (312) 491-0505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence A-3920-0003-A (IL) |
|---|
Record details
| NPI number | 1003063421 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kenneth Davis — President · (312) 491-0404 |
| NPI enumerated | August 27, 2008 |
| Last updated in NPPES | August 27, 2008 |
| Mailing address | 821 W Van Buren St, Chicago, IL 60607-3517 |
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