NPI 1275088130

University Pathology Diagnostics Sc

Organisation Anatomic Pathology & Clinical Pathology Physician Chicago, IL

Practice location

Address: 1653 W Congress Pkwy 570 Jelke, Chicago, IL 60612-3833
Phone: (312) 942-8850
Fax: (312) 563-8630
Mailing address: 5700 Southwyck Blvd, Toledo, OH 43614-1509

Authorised official

Name: Vijaya B Reddy
Title: President
Phone: (312) 942-8850

Registered specialties

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 70191199 (IL)

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Registry record

NPI: 1275088130
Entity type: Organization
NPI issued: 22 Aug 2016
Record last updated: 22 Aug 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.