14D2075746 CLIA NUMBER - ADVANCED GYNECOLOGY S C

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Laboratory Demographics

CLIA Number: 14D2075746

Facility Name: ADVANCED GYNECOLOGY S C

Facility Address:
250 W KENSINGTON RD - STE 1B
MOUNT PROSPECT, IL
ZIP 60056
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Facility Phone Number: 847 568-1488

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1679844039

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	14D2075746
LAB Type	Physician Office
Facility Name	ADVANCED GYNECOLOGY S C
Street	250 W KENSINGTON RD - STE 1B
City	MOUNT PROSPECT
State	IL
ZIP	60056
Phone	847 568-1488
CertificateType	3
CertificateEffectiveDate	4/3/2024
CertificateExpirationDate	4/2/2026
FacilityType	PPMP

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