| NPI | 1225781990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAIHAAN KHAN President 630-201-4786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| 261QC1800X | |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2022-02-01 |