| NPI | 1154942837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MAGNUS Credentialing Coordinator 847-390-7666 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2020-05-04 |
| Last Update Date | 2021-06-30 |