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Organization
CONSULTANTS IN LABORATORY MEDICINE AND PATHOLOGY, LTD.
Active
Organization
CONSULTANTS IN LABORATORY MEDICINE AND PATHOLOGY, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY THERESE UCKERMAN MD (OWNER)
(708) 229-5813
Entity
Organization
Contact information
Practice address
2800 W 95TH ST, DEPT OF PATHOLOGY, EVERGREEN PARK, IL 60805-2701
(708) 228-2875
Mailing address
PO BOX 5981, CAROL STREAM, IL 60197-5981
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036083197
—
IL
Enumeration date
12/15/2006
Last updated
09/16/2024
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