Provider Demographics
NPI:1053359018
Name:U.S. DIAGNOSITICS
Entity type:Organization
Organization Name:U.S. DIAGNOSITICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RABIA
Authorized Official - Middle Name:
Authorized Official - Last Name:NAVEED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-854-1448
Mailing Address - Street 1:816 E WILSON AVE
Mailing Address - Street 2:
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-4047
Mailing Address - Country:US
Mailing Address - Phone:630-776-5027
Mailing Address - Fax:630-495-3902
Practice Address - Street 1:1177 N HIGHLAND AVE
Practice Address - Street 2:STE. #202
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60506-2281
Practice Address - Country:US
Practice Address - Phone:815-254-1448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========001Medicaid
IL=========001Medicaid