NPI Provider: 1104953017
Contact Name: Sabbagh E Rudy
Position: Medical Director
Phone: (312) 654-9100
Souma Diagnostics, Ltd Information:
Souma Diagnostics, Ltd organization have npi 1104953017, taxonomy code is 2085U0001X with license number is in . This Business address located in PO Box 11690, Chicago, IL 60611 Illinois.
Practice Location
Address: 680 N Lake Shore Dr, Chicago, IL 60611
Phone: (312) 654-9100
Business Location
Address: PO Box 11690, Chicago, IL 60611
Phone: (773) 735-2110
Fax: (773) 735-4238
Taxonomy
Taxonomy Code: 2085U0001X
License Number:
License Number of State: IL
Primary Taxonomy Switch: Y
Enumeration Date: 2/27/2007
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