NPI 1023756749

Walgreen Co.

Organisation Clinical Medical Laboratory Chicago, IL

Practice location

Address: 11833 S Western Ave, Chicago, IL 60643-4733
Phone: (773) 233-2245
Fax: (773) 233-0324
Mailing address: 1901 E Voorhees St # Ms 790, Danville, IL 61834-4509

Authorised official

Name: Kira L Taylor
Title: Manager
Phone: (217) 709-2351

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X

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Registry record

NPI: 1023756749
Entity type: Organization
NPI issued: 23 May 2022
Record last updated: 23 May 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.