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1003063421
PROFESSIONAL DIAGNOSTIC SERVICE, S.C.
CHICAGO, IL
NPI
1003063421
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Entity Type
Organization
Authorized Contact
KENNETH DAVIS
President
312-491-0404
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: IL A-3920-0003-A)
Enumeration Date
2008-08-27
Last Update Date
2008-08-27
Business Address
PROFESSIONAL DIAGNOSTIC SERVICE, S.C.
821 W VAN BUREN ST
CHICAGO, IL 60607-3517
Phone number: 312-491-0404
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Mailing Address
PROFESSIONAL DIAGNOSTIC SERVICE, S.C.
821 W VAN BUREN ST
CHICAGO, IL 60607-3517
Phone number: 312-491-0404
Copy
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