14D0691035 CLIA NUMBER - ASHOK B PHADKE MD

Laboratory Demographics

CLIA Number: 14D0691035

Facility Name: ASHOK B PHADKE MD

Facility Address:
2031 EAST GRAND AVENUE
LINDENHURST, IL
ZIP 60046
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Facility Phone Number: 847 356-5575

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1457348187

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name	Field Value
CLIA Number	14D0691035
LAB Type	Physician Office
Facility Name	ASHOK B PHADKE MD
Street	2031 EAST GRAND AVENUE
City	LINDENHURST
State	IL
ZIP	60046
Phone	847 356-5575
CertificateType	4
CertificateEffectiveDate	11/5/2023
CertificateExpirationDate	11/4/2025
FacilityType	Waiver

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