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Organization
PATHOLOGY SERVICES ILLINOIS, LTD
Active
Organization
PATHOLOGY SERVICES ILLINOIS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DILIPKUMAR DHARKAR M.D. (PRESIDENT)
(773) 484-4135
Entity
Organization
Contact information
Practice address
2875 W 19TH ST, CHICAGO, IL 60623-3501
(773) 484-1000
Mailing address
PO BOX 1287, INDIANAPOLIS, IN 46206-1287
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01636148
BCBS IL
IL
01
—
DE6800
RAILROAD MEDICARE
—
Enumeration date
09/14/2006
Last updated
10/15/2019
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