Organization
ESPOIR LAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUHAMMAD KHAN (AUTHORIZED OFFICIAL)
(773) 508-1927
Entity
Organization
Contact information
Practice address
6257 N CLARK ST, CHICAGO, IL 60660-1201
(773) 508-1927
Mailing address
6257 N CLARK ST, CHICAGO, IL 60660-1201
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
242387
NONE
IL
Enumeration date
08/09/2022
Last updated
11/01/2022
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