Organization
COVID DIAGNOSTICS
Active
Other names
COVID DIAGNOSTICS
Organization subpart
No
Provider details
NPI number
Authorized official
AMY LEE LCSW (OUTREACH DIRECTOR)
(773) 699-0037
Entity
Organization
Contact information
Practice address
1186 NORTHBROOK CT, NORTHBROOK, IL 60062-1435
(847) 496-0949
Mailing address
1186 NORTHBROOK CT, NORTHBROOK, IL 60062-1435
(847) 496-0949
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/14/2021
Last updated
09/25/2021
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