NPI 1194178566

Chicago City of

Organisation Other Technician Chicago, IL

Practice location

Address: 2133 W Lexington St, Chicago, IL 60612-3707
Phone: (312) 746-7824
Fax: (312) 746-6526
Mailing address: 333 S State St Room 200, Chicago, IL 60604-3900

Authorised official

Name: Kevin Comer
Title: Lead Inspector
Phone: (312) 746-7824

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X Licence 001285 (IL)

Other Technician, Other providers in Illinois →

Registry record

NPI: 1194178566
Entity type: Organization
NPI issued: 20 Jul 2016
Record last updated: 20 Jul 2016

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.