Doctors Diagnostic Services, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036.084938 Issued in IL

Legal business name

DOCTORS DIAGNOSTIC SERVICES, INC.

Practice address

9830 Ridgeland Ave
Ste 3C
Chicago Ridge, IL 60415-2667

Phone

(630) 440-7786

NPI assigned

Mar 29, 2011

Organization subpart

No

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

Authorized official

Name

Moqueet Syed

Title

President

Phone

(630) 440-7786

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Doctors Diagnostic Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Doctors Diagnostics Services Inc

  • Diagnostic Radiology Physician
  • Chicago Ridge, IL
  • NPI 1487952701
  NPD tax ID

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1770872806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9830 RIDGELAND AVE",
            "address_2": "STE 3C",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604152667",
            "telephone_number": "630-440-7786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9830 RIDGELAND AVE",
            "address_2": "STE 3C",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604152667",
            "telephone_number": "630-440-7786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS DIAGNOSTIC SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-29",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "SYED",
        "authorized_official_first_name": "MOQUEET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-440-7786"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.084938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036.084938",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Narmen Daik
• John N Defranco, MD
• Desirae Demarco, APN
• Michael A Devito
• Terrence P Diamond, MD
• Doctors Diagnostics Services Inc
• Cheryl Ann Doeden, MHS,CCC-SLP/L
• Sharon Lynn Dolatowski, COTA/L
• Eun Kyu Dong
• Yaw N Donkoh, M.D.

• Internal Medicine Physician in Chicago Ridge, IL
• Providers in Chicago Ridge, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.