14D2035477 CLIA NUMBER - NORTH SUBURBAN FAMILY MEDICINE

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Laboratory Demographics

CLIA Number: 14D2035477

Facility Name: NORTH SUBURBAN FAMILY MEDICINE

Facility Address:
150 N RIVER RD STE 310
DES PLAINES, IL
ZIP 60016
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Facility Phone Number: 847 795-0900

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1104195809

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	14D2035477
LAB Type	Physician Office
Facility Name	NORTH SUBURBAN FAMILY MEDICINE
Street	150 N RIVER RD STE 310
City	DES PLAINES
State	IL
ZIP	60016
Phone	847 795-0900
CertificateType	4
CertificateEffectiveDate	1/18/2024
CertificateExpirationDate	1/17/2026
FacilityType	Waiver

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