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Organization
PATHOLOGY PHYSICIAN SERVICES, LTD
Active
Organization
PATHOLOGY PHYSICIAN SERVICES, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DILIPKUMAR DHARKAR MD (PRESIDENT)
(630) 846-7540
Entity
Organization
Contact information
Practice address
645 S CENTRAL AVE, CHICAGO, IL 60644
(773) 626-4300
(773) 626-0648
Mailing address
PO BOX 5161, NAPERVILLE, IL 60567-5161
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932100
BCBS IL
IL
01
—
DF7349
RAILROAD MEDICARE
—
Enumeration date
11/01/2006
Last updated
07/02/2018
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