Organization
IL DIAGNOSTICS CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FEROZ JALAL (PRESIDENT)
(773) 999-3999
Entity
Organization
Contact information
Practice address
614 EXECUTIVE DR, WILLOWBROOK, IL 60527-5610
(773) 999-3999
Mailing address
614 EXECUTIVE DR, WILLOWBROOK, IL 60527-5610
(773) 999-3999
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
12/08/2021
Last updated
12/09/2021
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