# OA LABS CLINIC LLC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538669510
- **Authorized official:** DR. NICHOLAS MATARAGAS MD (DIRECTOR OF MEDICINE)
- **Authorized official phone:** (630) 235-0220

## Contact information

- **Practice address:** 6321 FAIRVIEW AVE STE B, WESTMONT, IL 60559-2886
- **Practice address phone:** (630) 235-0220
- **Practice address fax:** (985) 370-2321
- **Mailing address:** 6321 FAIRVIEW AVE STE B, WESTMONT, IL 60559-2886
- **Mailing address phone:** (630) 235-0220
- **Mailing address fax:** (985) 370-2321

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 336070137 | IL | Yes |

## Other

- **Enumeration date:** 02/16/2018
- **Last updated:** 06/16/2018