Organization
SCHCI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY OWENS (ACCOUNTING MANAGER)
(815) 740-1100
Entity
Organization
Contact information
Practice address
1200 MAPLE RD, JOLIET, IL 60432-1439
(815) 740-7089
Mailing address
1200 MAPLE ROAD, JOLIET, IL 60432
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
7002751
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
216466
MEDICARE PTAN
IL
Enumeration date
07/11/2008
Last updated
07/11/2008
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