| NPI | 1689690562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VEN ADUANA Medical Director 847-490-6950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2024-09-24 |