NPI | 1316151871 |
---|---|
Other Name | PROFESSIONAL DIAGNOSTIC SERVICES |
Entity Type | Organization |
Authorized Contact | KENNETH P DAVIS President 773-772-2450 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: IL A-3407-0001-A) |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: IL A-3407-0001-A) |
Enumeration Date | 2007-05-10 |
Last Update Date | 2024-11-04 |