| NPI | 1073917969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAMS SIDDIQUI President 847-324-9132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: IL 14D2083891) |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2014-12-11 |