# COVID DRIVE UP TESTING

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

## Provider details

- **NPI number:** 1780345868
- **Authorized official:** JEFFREY SCOTT LITAKER DIRECTOR (OWNER)
- **Authorized official phone:** (331) 551-1564

## Contact information

- **Practice address:** 10245 W ROOSEVELT RD, WESTCHESTER, IL 60154-2543
- **Practice address phone:** (331) 551-1564
- **Mailing address:** 2N278 ARGYLE ST, LOMBARD, IL 60148-1143
- **Mailing address phone:** (331) 551-1567

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/31/2021
- **Last updated:** 12/31/2021
