| NPI | 1093751596 |
|---|---|
| Doing Business As | MAXILLOFACIAL PATHOLOGY |
| Entity Type | Organization |
| Authorized Contact | REZA MOSTOFI Director 773-267-1110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: IL 14D0862191) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2014-08-19 |