14D1020487 CLIA NUMBER - CONSULTANTS IN NUEROLOGY LTD

Laboratory Demographics

  • CLIA Code: 14D1020487
  • Facility Name: CONSULTANTS IN NUEROLOGY LTD
  • Facility Address: 1535 LAKE COOK RD-SUITE 601
    NORTHBROOK, IL
    ZIP 60062
  • Facility Phone: (847) 509-0270
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANIEL R. WYNN
  • NPI Number: 1831183920
  • Taxonomy: 2084N0400X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 14D1020487
LAB Type Physician Office
Facility Name CONSULTANTS IN NUEROLOGY LTD
Street 1535 LAKE COOK RD-SUITE 601
City NORTHBROOK
State IL
ZIP 60062
Phone 8475090270
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2025
Certificate Expiration Date 12/21/2027
Facility Type Physician Office
Lab Director DANIEL R. WYNN

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This page was last updated on: 5/18/2026