Lifescan Chicago LLC

NPI #1356344378 in Chicago, Illinois

Provider Information

NPI Number
1356344378
Entity Type
Organization
Organization Name
Lifescan Chicago LLC
Primary Specialty
Clinic/Center - Radiology
Enumeration Date
May 23, 2005
Last Updated
May 6, 2009

Practice Location

Address
2242 W HARRISON ST
Address 2
STE 100
ZIP Code
60612-3515
Phone
(312) 243-3200

Authorized Official

Name
MRS. MARY SOTO
Title
CREDENTIALING MANAGER
Phone
(708) 452-6842

Specialties & Taxonomy Codes

Specialty
Clinic/Center - RadiologyRadiology

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