Organization
ELGIN LAB DIAGNOSTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MUHAMMAD NAZIR ADMINISTRATOR (ADMINISTRATOR)
(708) 581-8304
Entity
Organization
Contact information
Practice address
229 W GRAND AVE STE R, BENSENVILLE, IL 60106-3365
(708) 581-8304
(877) 389-7885
Mailing address
1339 N ARTESIAN AVE APT 2, CHICAGO, IL 60622-6962
(206) 234-7715
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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