Provider Demographics
NPI:1598088031
Name:GLENVIEW DIAGNOSTICS
Entity type:Organization
Organization Name:GLENVIEW DIAGNOSTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:FAHMINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEIKH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-840-6761
Mailing Address - Street 1:6333 N CALIFORNIA AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60659-1701
Mailing Address - Country:US
Mailing Address - Phone:847-840-6761
Mailing Address - Fax:847-763-9753
Practice Address - Street 1:6333 N CALIFORNIA AVE STE 101
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60659-1701
Practice Address - Country:US
Practice Address - Phone:847-840-6761
Practice Address - Fax:847-763-9753
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-11
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonographyGroup - Single Specialty