BJ DIAGNOSTIC SERVICES INC. NPI 1114057288

NPI Information

NPI: 1114057288
Provider Name: BJ DIAGNOSTIC SERVICES, INC.
Classification: Clinic/Center - 261QR0208X
Specialization: Radiology, Mobile
Entity Type: Organization
Address: 1608 W 69TH ST
CHICAGO, IL
ZIP 60636
Phone: (773) 471-0017

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NPI Details

BJ DIAGNOSTIC SERVICES, INC. is a radiology and mobile clinic center in Chicago, IL. BJ DIAGNOSTIC SERVICES, INC. NPI is 1114057288. The provider is registered as an organization entity type.

The provider's business location address is:

1608 W 69TH ST
CHICAGO, IL
ZIP 60636-316
Phone: (773) 471-0017

The provider's authorized official is Mohammad A Jamal .
The authorized official title is President and has the following contact phone number (630) 585-8372.

The enumeration date for this NPI number is 3/6/2007 and was last updated on 3/3/2009.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0208X	Clinic/Center	Radiology, Mobile			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	535120	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS

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: 11/21/2025

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