Midwest Diagnostic Pathology Sc
Pathology, Anatomic Pathology & Clinical Pathology in Park Ridge, IL. Organization (NPI-2).
NPI number1982606380
StatusActive
Last updated in NPPESJul 30, 2026
Details
- NPI
- 1982606380
- Entity type
- Organization (NPI-2)
- Legal business name
- Midwest Diagnostic Pathology Sc
- Organization subpart
- No
- Enumeration date
- Aug 15, 2005
- Certification date
- Jul 30, 2026
- Last updated
- Jul 30, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | – | – | Yes |
Practice location
1775 Dempster StPark Ridge, IL 60068-1143
Phone 847-349-7344
Mailing address
Po Box 578Park Ridge, IL 60068-0578
Phone 847-349-7344
Authorized official
Oliver S. Kim
President
8477232210
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