Organization
COVID CARE OF ILLINOIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEMATH ULLAH (MANAGER)
(630) 999-1661
Entity
Organization
Contact information
Practice address
12829 TIPPERARY LN, PLAINFIELD, IL 60585-2846
(630) 999-1661
Mailing address
12829 TIPPERARY LN, PLAINFIELD, IL 60585-2846
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
12/28/2021
Last updated
03/02/2022
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