Organization
NORTHERN ILLINOIS CLINICAL LABORATORY, LTD.
Active
Other names
Propath Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNA M WELDER MT (ASCP) (GENERAL MANAGER)
(847) 509-9779
Entity
Organization
Contact information
Practice address
7531 S STONY ISLAND AVE, CHICAGO, IL 60649-3954
(773) 947-7660
(773) 947-0482
Mailing address
306 ERA DR, NORTHBROOK, IL 60062-1834
(847) 509-9779
(847) 509-9255
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/16/2006
Last updated
08/22/2020
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