Professional Diagnostic Services,Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PROFESSIONAL DIAGNOSTIC SERVICES,INC

Practice address

9213 Parklane Ave Ste 1
Franklin Park, IL 60131-2837

Phone

(847) 227-8780

Fax

(844) 496-9345

NPI assigned

Nov 19, 2008

Organization subpart

No

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

Authorized official

Name

Richard Felicelda

Title

Administrator

Phone

(847) 802-2288

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584489600000",
    "number": "1205081189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 W HIGGINS RD",
            "address_2": "215",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601692428",
            "telephone_number": "847-401-7475",
            "fax_number": "847-884-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9213 PARKLANE AVE STE 1",
            "city": "FRANKLIN PARK",
            "state": "IL",
            "postal_code": "601312837",
            "telephone_number": "847-227-8780",
            "fax_number": "844-496-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL DIAGNOSTIC SERVICES,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-19",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A",
        "authorized_official_last_name": "FELICELDA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "847-802-2288"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Play 2 Learn Therapy, Inc.
• Makisha Pollard, BS, MBA
• Katarzyna Pracka, LPC, AMFT
• Subarna P Pradhan, M.D.
• Premise Health of Illinois Medical PC (Sloan - Franklin Park)
• Professional Diagnostic Services,Inc
• Anthony A Provenzano, PHARM D
• Virginie Zhang Qian, PA-C
• Maria Quijano
• Aakash Bhupendra Raav, DDS

• Multi-Specialty Clinic/Center in Franklin Park, IL
• Providers in Franklin Park, IL by specialty
• Multi-Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; 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.