Organization
CHILABORATORYLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FNU MOHAMMED FAROOQ ADIL (OWNER)
(773) 344-5018
Entity
Organization
Contact information
Practice address
817 W LINCOLN HWY STE A, DEKALB, IL 60115-3002
(773) 344-5018
Mailing address
9648 KEDVALE AVE, SKOKIE, IL 60076-1120
(773) 344-5018
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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