| NPI | 1154203891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA BROWN Administrator 708-359-9919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RM2200X Technician, Pathology, Medical Laboratory |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy |
| 246RP1900X Technician, Pathology, Phlebotomy | |
| 163W00000X Registered Nurse | |
| Enumeration Date | 2025-07-23 |
| Last Update Date | 2025-07-23 |