Organization
PATHOLOGY CONSULTANTS, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE BARTUSEK M.D. (PRESIDENT)
(630) 587-0193
Entity
Organization
Contact information
Practice address
300 RANDALL RD, PATHOLOGY DEPT, GENEVA, IL 60134-4200
(630) 587-0193
(630) 587-0401
Mailing address
PO BOX 1048, DEPT 1000, ST CHARLES, IL 60174-7048
(847) 495-1617
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04515197
BLUE SHIELD
IL
Enumeration date
10/19/2006
Last updated
08/22/2020
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