14D2014054 CLIA NUMBER - RABY INSTITUTE FOR INTEGRATAIVE MED NORTHWESTERN L

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Laboratory Demographics

CLIA Number: 14D2014054

Facility Name: RABY INSTITUTE FOR INTEGRATAIVE MED NORTHWESTERN L

Facility Address:
500 N MICHIGAN AVE, STE 2100
CHICAGO, IL
ZIP 60611
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Facility Phone Number: (312) 276-1212

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1023260825

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D2014054
LAB Type	PHYSICIAN OFFICE
Facility Name	RABY INSTITUTE FOR INTEGRATAIVE MED NORTHWESTERN L
Street	500 N MICHIGAN AVE, STE 2100
City	CHICAGO
State	IL
ZIP	60611
Phone	(312) 276-1212

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This page was last updated on: 5/11/2023