| NPI | 1649562596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AREF SENNO Owner 773-508-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: IL 14D2013046) |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2011-05-11 |