Organization
TESTATIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAALIK LATIFI (COO)
(630) 965-0770
Entity
Organization
Contact information
Practice address
212 DUNDEE AVE, EAST DUNDEE, IL 60118-1627
(312) 731-2434
Mailing address
212 DUNDEE AVE, EAST DUNDEE, IL 60118-1627
(312) 731-2434
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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