Organization
ELK GROVE LAB PHYSICIANS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS S. SHIBATA M.D. (PRESIDENT)
(847) 437-5500
Entity
Organization
Contact information
Practice address
800 BIESTERFIELD RD, ELK GROVE VILLAGE, IL 60007-3311
(847) 437-5500
(847) 981-2023
Mailing address
PO BOX 77-9154, DEPT 77-9154, CHICAGO, IL 60678-0001
(847) 437-5500
(847) 981-2023
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
IL
Other
Enumeration date
07/02/2006
Last updated
08/22/2020
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