Organization
CHICAGO FERTILITY LABORATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
W. PAUL DMOWSKI M.D., PH.D. (PRESIDENT)
(630) 954-0054
Entity
Organization
Contact information
Practice address
2425 W 22ND ST STE 102, OAK BROOK, IL 60523-4643
(630) 954-0054
Mailing address
PO BOX 7451, VILLA PARK, IL 60181-7451
(630) 954-0054
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1400699703
IL
Other
Enumeration date
12/27/2007
Last updated
04/20/2008
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