OrganizationActive
Illinios Tech Lab Inc
NPI 1811658024 · Clinical Medical Laboratory · Northbrook, IL
Provider details
- NPI number
- 1811658024
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Shafeeq Uddin Khaja, President(312) 952-3034
Specialties & taxonomies
Laboratories
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
1818 Skokie Blvd
Northbrook, IL 60062-4106
Phone: (312) 952-3034
Street-level locationGet directions
Mailing address
8244 Central Park Ave
Skokie, IL 60076-2909
Registry dates
- Enumerated
- 2022-01-10
- Last updated
- 2022-03-29
- Certified
- 2022-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.