Provider Demographics
NPI:1720214109
Name:ATTIC DIAGNOSTIC SOLUTIONS LLC
Entity Type:Organization
Organization Name:ATTIC DIAGNOSTIC SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAWEED
Authorized Official - Middle Name:
Authorized Official - Last Name:NAWAZ
Authorized Official - Suffix:
Authorized Official - Credentials:RDMS,RDCS,RCS,RVT
Authorized Official - Phone:773-818-3970
Mailing Address - Street 1:6720 N SHERIDAN RD
Mailing Address - Street 2:SUITE.201
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60626-4572
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6720 N SHERIDAN RD
Practice Address - Street 2:SUITE.201
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60626-4572
Practice Address - Country:US
Practice Address - Phone:773-818-3970
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-30
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471V0105XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistVascular SonographyGroup - Multi-Specialty
No246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonographyGroup - Multi-Specialty
No2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonographyGroup - Multi-Specialty