Organization
THE NORTHWESTERN LABCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TWANA HATCHETT (OWNER)
(312) 498-6659
Entity
Organization
Contact information
Practice address
1449 S MICHIGAN AVE # 1016, CHICAGO, IL 60605-2810
(312) 584-3088
(312) 210-8021
Mailing address
1449 S MICHIGAN AVE # 1016, CHICAGO, IL 60605-2810
(312) 584-3088
(312) 210-8021
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/16/2022
Last updated
01/16/2022
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