Organization
PARKSIDE LABORATORY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONA KHAN DO (OWNER)
(312) 998-5229
Entity
Organization
Contact information
Practice address
405 N WABASH AVE STE P2C, CHICAGO, IL 60611-3584
(312) 955-4005
Mailing address
405 N WABASH AVE STE P2C, CHICAGO, IL 60611-3584
(312) 955-4005
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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