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CHICAGO CLINICAL LABORATORIES, LTD , NPI 1659373900

Clinical Medical Laboratory in NORTHBROOK, IL

Last Updated on : Apr 20,2008

About CHICAGO CLINICAL LABORATORIES, LTD (NPI 1659373900)


CHICAGO CLINICAL LABORATORIES, LTD is a Clinical Medical Laboratory in NORTHBROOK, United States

1659373900 is NPI number of CHICAGO CLINICAL LABORATORIES, LTD.

CHICAGO CLINICAL LABORATORIES, LTD's primary taxonomy code based on NPI Lookup is 291U00000X with license number 14D0427920. This taxonomy code refers to Clinical Medical Laboratory.

CHICAGO CLINICAL LABORATORIES, LTD current practice location address is 306 ERA DR, NORTHBROOK, IL. CHICAGO CLINICAL LABORATORIES, LTD can be reached out via phone at 847-509-9779 and via fax at 847-509-9255 .

You can also correspond with CHICAGO CLINICAL LABORATORIES, LTD through mail at mailing address 306 ERA DR, NORTHBROOK, IL, United States. Mailing address contact number is 847-509-9779.

The enumeration date of CHICAGO CLINICAL LABORATORIES, LTD is 01-Jun-2005. The provider is registered as an Organization and the NPI record was last updated 14 years ago.

The authorized official of CHICAGO CLINICAL LABORATORIES, LTD is ANNA WELDER (GENERAL MANAGER). ANNA WELDER can be reached at 8475099779.

1659373900 NPI Information

Name CHICAGO CLINICAL LABORATORIES, LTD
National Provider Id (NPI) 1659373900
Entity Type Organization
Practice Address 306 ERA DR,
NORTHBROOK, IL, United States
Practice Telephone 847-509-9779
Practice Fax Number 847-509-9255
Mailing Address 306 ERA DR ,
NORTHBROOK, IL, United States
Mailing Telephone 847-509-9779
Mailing Fax Number 847-509-9255
Enumeration Date 01-Jun-2005
Last Updated Date 20-Apr-2008

CHICAGO CLINICAL LABORATORIES, LTD (NPI 1659373900) Primary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
Y 291U00000X Clinical Medical Laboratory 14D0427920 IL

Additional Identifiers

Identifier Type/Code Identifier State Identifier Issuer
148479 MEDICARE ID-Type Unspecified (04)
200072870A MEDICAID (05) IN
407557900 MEDICAID (05) MD
=========001 MEDICAID (05) IL

CHICAGO CLINICAL LABORATORIES, LTD (NPI 1659373900) Office Location

Providers in same location

NPI Name Taxonomy Address Enumeration date
1417066911 JEFFREY C DRALUCK Dermatology 400 SKOKIE BLVD, SUITE 475
NORTHBROOK, ID, United States
29-Aug-2006
1710459789 DYAMON WHITE Behavior Technician 5 REVERE DR,
NORTHBROOK, IL, United States
01-Jan-2019
1477192904 BLESSON VARGHESE Physical Therapist 1535 LAKE COOK RD STE 306,
NORTHBROOK, IL, United States
01-Jan-2020
1518945484 MICHAEL J UNGER Internal Medicine 1500 SHERMER RD, SUITE 212
NORTHBROOK, IL, United States
02-Jan-2006
1720145386 WANCHAI SANGCHANTR Internal Medicine, Gastroenterology 4207 RUTGERS LN,
NORTHBROOK, IL, United States
02-Jan-2007
1568647154 MARK J GRECO Physical Therapist 755 SKOKIE BLVD,
NORTHBROOK, IL, United States
02-Jan-2008
1376789982 MARINA SHVARTSMAN Speech-Language Pathologist, 2053 CLOVER RD,
NORTHBROOK, IL, United States
02-Jan-2009
1306318316 SARAH KAY BAILEY Behavior Technician 5 REVERE DR STE 120,
NORTHBROOK, IL, United States
02-Jan-2019
1649743618 KAREN S. DOMIN Behavior Technician 5 REVERE DR STE 120,
NORTHBROOK, IL, United States
02-Jan-2019
1881233260 JESSICA WADE Behavior Technician 5 REVERE DR STE 120,
NORTHBROOK, IL, United States
02-Jan-2020
1992344386 ELEVATE CARE NORTHBROOK LLC Durable Medical Equipment & Medical Supplies 270 SKOKIE BLVD,
NORTHBROOK, IL, United States
02-Jan-2020
1063957876 RUTH LYNN JOHNSON Counselor 5807 W BYRON ST,
CHICAGO, IL, United States
03-Jan-2017
1033682984 DOMINIQUE MCCREE Behavior Technician 5 REVERE DR STE 120,
NORTHBROOK, IL, United States
03-Jan-2019
1306485610 RYAN MICHAEL GARITI Behavior Technician 5 REVERE DR STE 120,
NORTHBROOK, IL, United States
03-Jan-2020
1447238910 DONNA D WITTERT Nurse Practitioner 3300 MILWAUKEE AVE,
NORTHBROOK, IL, United States
05-Jan-2006
1558418137 LARRY S MACKLIN Pharmacist 1948 BRENTWOOD RD,
NORTHBROOK, IL, United States
04-Jan-2007
1578748851 COURTNEY LYN MURRAY Occupational Therapist, Pediatrics 40W310 LAFOX RD # 1,
ST CHARLES, IL, United States
04-Jan-2008
1861796724 MARIOLA KACZKOWSKI Nurse Practitioner PO BOX 2056,
NORTHBROOK, IL, United States
06-Jan-2011
1770171001 ELISHA-RIO APILADO Behavior Technician 137 N OAK PARK AVE STE 329,
OAK PARK, IL, United States
04-Jan-2021
1528046893 YULIYA BECKERMAN Dentist, General Practice 2561 ESSEX DR,
NORTHBROOK, IL, United States
05-Jan-2006

FAQs

Whose NPI Number is 1659373900?

1659373900 is the NPI number of CHICAGO CLINICAL LABORATORIES, LTD.

Where is CHICAGO CLINICAL LABORATORIES, LTD located?

CHICAGO CLINICAL LABORATORIES, LTD is located at 306 ERA DR, NORTHBROOK, IL.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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