| NPI | 1013154475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI L BAKKER Administrator 312-735-0976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: IL 14D0950847) |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2009-01-07 |