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Contact Information

IDEAL HEALTH DIAGNOSTICS, INC.
145 W DUNDEE RD
BUFFALO GROVE, IL60089-3706
 Phone: 847-293-7704
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiology

261QR0200X 74 Radiation Therapy Center
Indicates primary specialty

NPI Profile & details for IDEAL HEALTH DIAGNOSTICS, INC.

NPI # 1629158605
LBN Legal business name IDEAL HEALTH DIAGNOSTICS, INC.
Authorized official SVETLANA DIZIK - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/16/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
IL Other 01629955 BCBS PROVIDER NUMBER
IL Other 626700 GROUP PIN #
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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