Organization
NEXGEN LAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI HOCKLA (PRESIDENT)
(630) 656-7069
Entity
Organization
Contact information
Practice address
6124 N MILWAUKEE AVE, SUITE # 14, CHICAGO, IL 60646-3830
(630) 656-7069
Mailing address
6124 N MILWAUKEE AVE, SUITE # 14, CHICAGO, IL 60646-3830
(630) 656-7069
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
IL
Other
Enumeration date
11/07/2015
Last updated
11/07/2015
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