Il Diagnostics Corporation

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

IL DIAGNOSTICS CORPORATION

Practice address

614 Executive Dr
Willowbrook, IL 60527-5610

Phone

(773) 999-3999

NPI assigned

Dec 8, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Feroz Jalal

Title

President

Phone

(773) 999-3999

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639008000000",
    "number": "1083372973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 EXECUTIVE DR",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605275610",
            "telephone_number": "773-999-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 EXECUTIVE DR",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605275610",
            "telephone_number": "773-999-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IL DIAGNOSTICS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-08",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A",
        "authorized_official_last_name": "JALAL",
        "authorized_official_first_name": "FEROZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-999-3999"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Richard Hormanski, DDS
• Shannon Houda
• Michelle Marie Huang, OTRL
• John Fikry Mityas Ibrahim, M.D
• Sandy E Ied, MBA
• Illinois Bone and Joint Institute LLC
• Institute for Health Behavior Change Inc.
• Integrated Health Care Services, Inc
• Integrated Health Center S.C.
• Integrated Rehabilitation Approach LLC

• Clinical Medical Laboratory in Willowbrook, IL
• Providers in Willowbrook, IL by specialty
• Clinical Medical Laboratory in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.