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LINCOLN ADVANCED DIAGNOSTICS LLC NPI 1063855500


NPI Information

NPI: 1063855500
Provider Name: LINCOLN ADVANCED DIAGNOSTICS, LLC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
5354 N LINCOLN AVE
CHICAGO, IL
ZIP 60625
Phone: (773) 353-5047
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LINCOLN ADVANCED DIAGNOSTICS, LLC is a health service clinic center in Chicago, IL. LINCOLN ADVANCED DIAGNOSTICS, LLC NPI is 1063855500. The provider is registered as an organization entity type.

The provider's business location address is:

5354 N LINCOLN AVE
CHICAGO, IL
ZIP 60625-316
Phone: (773) 353-5047
Fax: (312) 465-1402

The provider's authorized official is Mohammad Khamis .
The authorized official title is President and has the following contact phone number (773) 353-5047.

The enumeration date for this NPI number is 4/15/2013 and was last updated on 4/15/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QH0100XClinic/CenterHealth ServiceILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.