OrganizationActive
Lifescan Chicago LLC
NPI 1356344378 · Radiology Clinic/Center · Chicago, IL
Provider details
- NPI number
- 1356344378
- Entity type
- Organization
- Primary specialty
- Radiology Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mary Soto, Credentialing Manager(708) 452-6842
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2242 W Harrison St
Ste 100
Chicago, IL 60612-3515
Phone: (312) 243-3200
Fax: (312) 243-5759
Approximate (ZIP-level) locationGet directions
Mailing address
2242 W Harrison St
Chicago, IL 60612-3515
Registry dates
- Enumerated
- 2005-05-23
- Last updated
- 2009-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.