Organization
ANDROLOGY SPECIALISTS OF CHICAGO, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AREF SENNO M.D. (OWNER)
(773) 508-9800
Entity
Organization
Contact information
Practice address
2320 W PETERSON AVE, CHICAGO, IL 60659-5242
(773) 508-9800
(773) 508-1796
Mailing address
2320 W PETERSON AVE, CHICAGO, IL 60659-5242
(773) 508-9800
(773) 508-1796
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
14D2013046
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14D2013046
CLIA
IL
Enumeration date
05/11/2011
Last updated
05/11/2011
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