Organization
CHICAGO CLINICAL LABORATORIES, LTD
Active
Organization
CHICAGO CLINICAL LABORATORIES, LTD
Active
Other names
NICL LABORATORIES
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL CHRISTOPHER WELDER (PRESIDENT)
(847) 509-9779
Entity
Organization
Contact information
Practice address
306 ERA DR, NORTHBROOK, IL 60062-1834
(847) 509-9779
(847) 509-9255
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
14D0427920
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200072870A
—
IN
05
—
407557900
—
MD
Enumeration date
06/01/2005
Last updated
12/19/2025
Update your record
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