OrganizationActive
Illinois Laboratory Medicine Associates
NPI 1457642969 · Clinical Pathology/Laboratory Medicine Physician · Berwyn, IL
Provider details
- NPI number
- 1457642969
- Entity type
- Organization
- Primary specialty
- Clinical Pathology/Laboratory Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Randall Mcgivney, President(630) 472-8800
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3249 Oak Park Ave
Berwyn, IL 60402-3429
Phone: (708) 783-9100
Approximate (ZIP-level) locationGet directions
Mailing address
2000 Spring Rd
Oak Brook, IL 60523-1804
Registry dates
- Enumerated
- 2011-05-02
- Last updated
- 2011-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.