Organization · Type 2 NPI

Univ. of Illinois at Chicago

Physiological Laboratory · Chicago, IL

NPI number 1336399583 Active

Practice location

851 S Morgan St, Seo, Mc 063, Room 218
Chicago, IL 60607-7042

Fax (312) 996-5921

Mailing address

509 Aurora Ave, 305
Naperville, IL 60540-6221

Specialties and licenses

TaxonomyCodeLicense
Physiological Laboratory Primary 293D00000XD0030401 (MD)

Physiological Laboratory: A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical labora…

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About NPI 1336399583

Univ. of Illinois at Chicago's National Provider Identifier is 1336399583, issued on Sep 24, 2008. The primary taxonomy on file is Physiological Laboratory (293D00000X), and the practice location is in Chicago, IL. The record was last updated on Sep 24, 2008.