14D2123564 CLIA NUMBER - ENDOCRINE SOLUTIONS LLC

Laboratory Demographics

CLIA Number: 14D2123564

Facility Name: ENDOCRINE SOLUTIONS LLC

Facility Address:
372 LARRY POWERS RD, STE 2
BOURBONNAIS, IL
ZIP 60914
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Facility Phone Number: 815 954-0771

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1467994129

Taxonomy: 207RE0101X - Internal Medicine
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

CLIA Record

Field Name	Field Value
CLIA Number	14D2123564
LAB Type	Physician Office
Facility Name	ENDOCRINE SOLUTIONS LLC
Street	372 LARRY POWERS RD, STE 2
City	BOURBONNAIS
State	IL
ZIP	60914
Phone	815 954-0771
CertificateType	4
CertificateEffectiveDate	12/23/2022
CertificateExpirationDate	12/22/2024
FacilityType	Waiver

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