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14D2288528 CLIA NUMBER - AIM HEALTHCARE PROVIDERS IL, SC

Laboratory Demographics

CLIA Number: 14D2288528

Facility Name: AIM HEALTHCARE PROVIDERS IL, SC

Facility Address:
1901 BUTTERFIELD RD - STE 810
DOWNERS GROVE, IL
ZIP 60515
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Facility Phone Number: 480 494-2465

Facility Type: Other - POPULATION HEALTHCARE

Certificate Type: Waiver
NPI Number: 1295278000

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 14D2288528
LAB Type Other - POPULATION HEALTHCARE
Facility Name AIM HEALTHCARE PROVIDERS IL, SC
Street 1901 BUTTERFIELD RD - STE 810
City DOWNERS GROVE
State IL
ZIP 60515
Phone 480 494-2465
CertificateType 4
CertificateEffectiveDate 8/26/2023
CertificateExpirationDate 8/25/2025
FacilityType Waiver

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