Organization
GOPATH PATHOLOGY ASSOCIATES, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIM LU MD (PRESIDENT)
(317) 702-7435
Entity
Organization
Contact information
Practice address
1000 CORPORATE GROVE DR, BUFFALO GROVE, IL 60089-4550
(224) 588-9940
(224) 588-9941
Mailing address
1359 BARCLAY BLVD, BUFFALO GROVE, IL 60089-4501
(224) 588-9940
(224) 588-9941
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042620805
—
IL
Enumeration date
03/28/2012
Last updated
10/22/2024
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