Organization
SOUTH CHICAGO LAB LIMITED
Active
Other names
SOUTH CHICAGO LAB L LIMITED, SOUTH CHICAGO LAB LIMITED
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN ABU-SHAQRA PHD (PRESIDENT)
(815) 440-9285
Entity
Organization
Contact information
Practice address
8058 S WESTERN AVE, CHICAGO, IL 60620-5936
(815) 440-9285
Mailing address
10215 S 84TH AVE, PALOS HILLS, IL 60465-1302
(815) 440-9285
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
—
—
Other
Enumeration date
05/21/2021
Last updated
05/21/2021
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