14D0411620 CLIA NUMBER - SUBURBAN ENDOCRINOLOGY & DIABETES

Laboratory Demographics

CLIA Number: 14D0411620

Facility Name: SUBURBAN ENDOCRINOLOGY & DIABETES

Facility Address:
2101 S ARLINGTON HEIGHTS RD, STE 111
ARLINGTON HEIGHTS, IL
ZIP 60005
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Facility Phone Number: 847 228-3200

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1780879866

Taxonomy: 207RE0101X - Internal Medicine
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

CLIA Record

Field Name	Field Value
CLIA Number	14D0411620
LAB Type	Physician Office
Facility Name	SUBURBAN ENDOCRINOLOGY & DIABETES
Street	2101 S ARLINGTON HEIGHTS RD, STE 111
City	ARLINGTON HEIGHTS
State	IL
ZIP	60005
Phone	847 228-3200
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024