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
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