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Organization

K52 LLC

Active
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Organization

K52 LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FATIMA SAMREEN (MANAGER)
(312) 532-1885
Entity
Organization

Contact information

Practice address
4325 N JESTERS CT, STE 9, PEORIA, IL 61614
(312) 532-1885
Mailing address
1815 E CAMP MCDONALD RD, MOUNT PROSPECT, IL 60056-1723
(312) 730-7860

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
01/23/2022
Last updated
04/07/2022
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