Organization
I GOT WHAT YOU NEED
Active
Other names
cook
Organization subpart
No
Provider details
NPI number
Authorized official
IRENIA BUTLER (OWNER)
(773) 815-5116
Entity
Organization
Contact information
Practice address
360 E 69TH ST, CHICAGO, IL 60637-4639
(773) 815-5116
Mailing address
360 E 69TH ST, CHICAGO, IL 60637-4639
(773) 815-5116
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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