| NPI | 1639836729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN LERNER President 312-868-7166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 251S00000X |
| 333600000X Pharmacy | |
| Enumeration Date | 2021-11-23 |
| Last Update Date | 2022-01-14 |