Organization
HISTOLOGY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL J KELLY M.D. (PRESIDENT)
(847) 525-3147
Entity
Organization
Contact information
Practice address
21 N SKOKIE HWY, SUITE 202, LAKE BLUFF, IL 60044-1777
(847) 525-3147
Mailing address
21 N SKOKIE HWY, SUITE 202, LAKE BLUFF, IL 60044-1777
(847) 525-3147
Taxonomy
Speciality
Code
Description
License number
State
246RH0600X
Histology Technician
Primary
—
—
Other
Enumeration date
09/17/2008
Last updated
01/26/2016
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