Precise Bioscience, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

PRECISE BIOSCIENCE, LLC

Practice address

7630 Plaza CT
Willowbrook, IL 60527-5607

Phone

(630) 207-8598

Fax

(888) 248-8698

NPI assigned

Jun 9, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Lucas Austin Maurella

Title

Finance Manager

Phone

(630) 207-8598

Specialties & licenses 1

Addresses

Other names 1

• Precise Bioscience Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686268800000",
    "number": "1003590167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7630 PLAZA CT",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605275607",
            "telephone_number": "630-207-8598",
            "fax_number": "888-248-8698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7630 PLAZA CT",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605275607",
            "telephone_number": "630-207-8598",
            "fax_number": "888-248-8698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISE BIOSCIENCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-09",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A",
        "authorized_official_last_name": "MAURELLA",
        "authorized_official_first_name": "LUCAS",
        "authorized_official_middle_name": "AUSTIN",
        "authorized_official_title_or_position": "FINANCE MANAGER",
        "authorized_official_telephone_number": "630-207-8598",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precise Bioscience",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dermatology Physician in Willowbrook, IL
• Providers in Willowbrook, IL by specialty
• Dermatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.