Organization
ILLINOIS IVF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTINA LYNN BUTLER (ADMINISTRATOR)
(630) 810-0212
Entity
Organization
Contact information
Practice address
4333 MAIN ST, DOWNERS GROVE, IL 60515-2869
(630) 810-0212
(630) 810-1027
Mailing address
4333 MAIN ST, DOWNERS GROVE, IL 60515-2869
(630) 810-0212
(630) 810-1027
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/07/2019
Last updated
05/07/2019
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