Illinois Laboratory Medicine Associates

NPI #1457642969 in Berwyn, Illinois

Provider Information

NPI Number: 1457642969
Entity Type: Organization
Organization Name: Illinois Laboratory Medicine Associates
Primary Specialty: Pathology - Clinical Pathology/Laboratory Medicine
Enumeration Date: May 2, 2011
Last Updated: May 2, 2011

Practice Location

Address: 3249 OAK PARK AVE
City: Berwyn
State: Illinois
ZIP Code: 60402-3429
Phone: (708) 783-9100

Authorized Official

Name: DR. RANDALL K MCGIVNEY, D.O.
Title: PRESIDENT
Phone: (630) 472-8800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pathology - Clinical Pathology/Laboratory Medicine — Clinical Pathology/Laboratory Medicine	207ZP0105X	Primary

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Organizations

Provider Name	Specialty	City
Illinois Pathology Associates, Ltd.	Pathology - Clinical Pathology/Laboratory Medicine	Berwyn	AI Deep Dive

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