Illinios Tech Lab INC
NPI #1811658024 in Northbrook, Illinois
Provider Information
- NPI Number
- 1811658024
- Entity Type
- Organization
- Organization Name
- Illinios Tech Lab INC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Jan 10, 2022
- Last Updated
- Mar 29, 2022
Practice Location
- Address
- 1818 SKOKIE BLVD
- City
- Northbrook
- State
- Illinois
- ZIP Code
- 60062-4106
- Phone
- (312) 952-3034
Authorized Official
- Name
- SHAFEEQ UDDIN KHAJA
- Title
- PRESIDENT
- Phone
- (312) 952-3034
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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