Individual
CARISSA LABOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
303 E CHICAGO AVE, WARD 3-140, CHICAGO, IL 60611-4296
(312) 503-8223
Mailing address
303 E CHICAGO AVE, WARD 3-140, CHICAGO, IL 60611-4296
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036148778
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
125068296
IL
Other
Enumeration date
03/24/2016
Last updated
07/08/2021
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