| NPI | 1962432195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA WELDER General Manager 847-509-9779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2010-07-30 |