OrganizationActive
Retired From Rush Univ. Med Center
NPI 1114274016 · Clinical Medical Laboratory · Oak Brook, IL
Provider details
- NPI number
- 1114274016
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Paul Wong, Professor, Director of Genetics(312) 942-6298
- License
- 036059548 (IL)
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
16 Forest Gate Cir
Oak Brook, IL 60523-2129
Phone: (630) 572-9202
Fax: (630) 572-9765
Street-level locationGet directions
Mailing address
16 Forest Gate Cir
Oak Brook, IL 60523-2129
Registry dates
- Enumerated
- 2012-08-09
- Last updated
- 2012-08-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.