Organization
ILLINOIS PATHOLOGY ASSOCIATES, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL K MCGIVNEY D.O. (PRESIDENT)
(630) 472-8800
Entity
Organization
Contact information
Practice address
3249 OAK PARK AVE, BERWYN, IL 60402-3429
(708) 783-9100
Mailing address
2000 SPRING RD, SUITE 200, OAK BROOK, IL 60523-1804
(630) 472-8800
(630) 472-9502
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
—
—
Other
Enumeration date
05/02/2011
Last updated
07/12/2011
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