NPI 1881975266

Phc of Buffalo Grove Diagnostic Services

Organisation Physiological Laboratory Buffalo Grove, IL

Practice location

Address: 150 W Half Day Rd Suite 105, Buffalo Grove, IL 60089-6591
Phone: (847) 868-3435
Fax: (847) 859-5885

Authorised official

Name: Jack a Maggiore
Title: Director
Phone: (847) 868-3435

Registered specialties (2)

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X

Other Physiological Laboratory providers in Illinois →

Health Service Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TH0100X

Other Psychologist providers in Illinois →

Registry record

NPI: 1881975266
Entity type: Organization
NPI issued: 30 Aug 2011
Record last updated: 31 Aug 2011

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.