NPI 1023053691

O'Hare Clinical Lab Services INC

Organisation Clinical Medical Laboratory Chicago, IL

Practice location

Address: 4909 W Division St STE 303, Chicago, IL 60651-3161
Phone: (800) 839-2095
Fax: (800) 761-3075
Mailing address: 1420 Renaissance Dr STE 206, Park Ridge, IL 60068-1342

Authorised official

Name: Mohamed Sirajudeen
Title: President
Phone: (773) 552-1355

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence 14D1051792 (IL)

Other Clinical Medical Laboratory providers in Illinois →

Registry record

NPI: 1023053691
Entity type: Organization
NPI issued: 18 Jun 2006
Record last updated: 11 Feb 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.