Provider Demographics
NPI:1477509966
Name:H & H DIAGNOSTICS, INC
Entity Type:Organization
Organization Name:H & H DIAGNOSTICS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:IMTIAZ
Authorized Official - Middle Name:HUSSAIN
Authorized Official - Last Name:AWAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-293-8703
Mailing Address - Street 1:PO BOX 5331
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-5331
Mailing Address - Country:US
Mailing Address - Phone:847-293-8703
Mailing Address - Fax:847-763-9753
Practice Address - Street 1:6348 N WESTERN AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60659-2010
Practice Address - Country:US
Practice Address - Phone:847-293-8703
Practice Address - Fax:847-763-7653
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL575510Medicare ID - Type Unspecified