14D2160858 CLIA NUMBER - ADULT MEDICINE PHYSICIANS

Laboratory Demographics

CLIA Number: 14D2160858

Facility Name: ADULT MEDICINE PHYSICIANS

Facility Address:
412 63RD ST
DOWNERS GROVE, IL
ZIP 60516
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Facility Phone Number: 630 974-5216

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1861420846

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	14D2160858
LAB Type	Physician Office
Facility Name	ADULT MEDICINE PHYSICIANS
Street	412 63RD ST
City	DOWNERS GROVE
State	IL
ZIP	60516
Phone	630 974-5216
CertificateType	4
CertificateEffectiveDate	1/18/2023
CertificateExpirationDate	1/17/2025
FacilityType	Waiver

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