14D2093730 CLIA NUMBER - NORTHWESTERN MED VERNON HILLS DIAGNOSTIC IMAGING

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Laboratory Demographics

CLIA Number: 14D2093730

Facility Name: NORTHWESTERN MED VERNON HILLS DIAGNOSTIC IMAGING

Facility Address:
870 N MILWAUKEE AVE
VERNON HILLS, IL
ZIP 60061
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Facility Phone Number: 847 535-7867

Facility Type: Other - OUTPATIENT IMAGING CTR

Certificate Type: Certificate of Compliance

NPI Number: 1356657860

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	14D2093730
LAB Type	Other - OUTPATIENT IMAGING CTR
Facility Name	NORTHWESTERN MED VERNON HILLS DIAGNOSTIC IMAGING
Street	870 N MILWAUKEE AVE
City	VERNON HILLS
State	IL
ZIP	60061
Phone	847 535-7867
CertificateType	2
CertificateEffectiveDate	9/10/2021
CertificateExpirationDate	4/30/2024
FacilityType	Compliance

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