Phc of Buffalo Grove Diagnostic Services
Phc of Buffalo Grove Diagnostic Services provides Health Service Psychologist services in Buffalo Grove, Illinois. Registered with an NPI since 2011.
- In the registry since
- 2011
- Specialties on file
- 2
Practice location Address checks out
150 W Half Day Rd Ste 105Buffalo Grove, IL 60089-6591 Not confirmed with CMS for 15 years — call before visiting
Phone: (847) 868-3435
Fax: (847) 859-5885
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physiological Laboratory (primary) | Taxonomy 293D00000X |
|---|---|
| Health Service Psychologist | Taxonomy 103TH0100X |
Record details
| NPI number | 1881975266 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jack Maggiore — Director · (847) 868-3435 |
| Other names | Portrait Health Centers Diagnostic Services |
| NPI enumerated | August 30, 2011 |
| Last updated in NPPES | August 31, 2011 |
| Mailing address | 150 W Half Day Rd, Suite 105, Buffalo Grove, IL 60089-6591 |