Phc of Buffalo Grove Diagnostic Services
NPI #1881975266 in Buffalo Grove, Illinois
Provider Information
- NPI Number
- 1881975266
- Entity Type
- Organization
- Organization Name
- Phc of Buffalo Grove Diagnostic Services
- Primary Specialty
- Physiological Laboratory
- Enumeration Date
- Aug 30, 2011
- Last Updated
- Aug 31, 2011
Practice Location
- Address
- 150 W HALF DAY RD
- Address 2
- SUITE 105
- City
- Buffalo Grove
- State
- Illinois
- ZIP Code
- 60089-6591
- Phone
- (847) 868-3435
Authorized Official
- Name
- DR. JACK A MAGGIORE, PHD
- Title
- DIRECTOR
- Phone
- (847) 868-3435
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Health Service — Health Service |
| Physiological Laboratory |
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