Organization
COVID DRIVE UP TESTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY SCOTT LITAKER DIRECTOR (OWNER)
(331) 551-1564
Entity
Organization
Contact information
Practice address
10245 W ROOSEVELT RD, WESTCHESTER, IL 60154-2543
(331) 551-1564
Mailing address
2N278 ARGYLE ST, LOMBARD, IL 60148-1143
(331) 551-1567
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/31/2021
Last updated
12/31/2021
Update your record
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