| NPI | 1306102678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY VOGT President 847-781-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: IL 14D0981820) |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2012-04-11 |