| NPI | 1740328632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT G KOHN Owner 815-759-3806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: IL IL-02110-01) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2020-08-22 |