Organization
CHICAGO PCR LAB SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAKIL GHAFOOR (PRESIDENT)
(708) 831-8417
Entity
Organization
Contact information
Practice address
4176 W MONTROSE AVE UNIT 105, CHICAGO, IL 60641-2161
(773) 263-4905
Mailing address
4176 W MONTROSE AVE UNIT 105, CHICAGO, IL 60641-2161
(773) 263-4905
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
02/25/2022
Last updated
03/15/2024
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