Organization
PIONEER MEDICAL GROUP LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YASER DAKHLALLAH (MANAGING DIRECTOR)
(630) 229-1280
Entity
Organization
Contact information
Practice address
148 S BOLINGBROOK DR, BOLINGBROOK, IL 60440-2852
(630) 914-5373
Mailing address
148 S BOLINGBROOK DR, BOLINGBROOK, IL 60440-2852
(630) 914-5373
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/10/2022
Last updated
01/10/2022
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