Organization
WINFIELD PATHOLOGY CONSULTANTS, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH L JOHNSON M.D. (DIRECTOR)
(877) 861-9294
Entity
Organization
Contact information
Practice address
25 N WINFIELD ROAD, WINFIELD, IL 60190
(877) 861-9294
Mailing address
DEPARTMENT 4432, CAROL STREAM, IL 60122-4432
(877) 861-9294
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02233087
BLUE CROSS BLUE SHIELD
IL
01
—
DF4130
RAILROAD MEDICARE GROUP N
IL
Enumeration date
11/03/2006
Last updated
06/01/2011
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