Organization
MEDCO SERVICE ORGANIZATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAULA HUFFMAN (OWNER)
(847) 362-3201
Entity
Organization
Contact information
Practice address
28835 N HERKY DR STE 102, LAKE BLUFF, IL 60044-1465
(847) 362-3201
(847) 362-3202
Mailing address
28835 N HERKY DR STE 102, LAKE BLUFF, IL 60044-1465
(847) 362-3201
(847) 362-3202
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary
—
—
Other
Enumeration date
03/16/2007
Last updated
08/22/2020
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