Organization · Type 2 NPI

Physicians Laboratory, LLC

Supports Brokerage Agency · Chicago, IL

NPI number 1265737787 Active

Practice location

1410 W Fulton St, Suite 204
Chicago, IL 60607-1110

Fax (312) 262-4531

Specialties and licenses

TaxonomyCodeLicense
Supports Brokerage Agency Primary 251X00000XNone listed

Supports Brokerage Agency: A provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, the service is available to assist in identifying immediate and long-term needs, developing options to meet those needs and accessing identified supports and services and …

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About NPI 1265737787

Physicians Laboratory, LLC's National Provider Identifier is 1265737787, issued on Jan 13, 2011. The primary taxonomy on file is Supports Brokerage Agency (251X00000X), and the practice location is in Chicago, IL. The record was last updated on Jan 13, 2011.