Active NPI
Consultants in Clinical Pathology
- Anatomic Pathology & Clinical Pathology Physician
- Evergreen Park, IL
National Provider Identifier
1104848233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 036083197
- Legal business name
- CONSULTANTS IN CLINICAL PATHOLOGY
- Practice address
- 2800 W 95TH St
Evergreen Park, IL 60805-2701 - Phone
- (708) 228-2875
- NPI assigned
- Jul 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Therese Uckerman, M.D.
- Title
- Owner
- Phone
- (708) 229-5813
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 036083197 | IL | Primary |
Addresses
Primary practice location
2800 W 95TH St
Evergreen Park, IL 60805-2701
Mailing address
PO Box 85443
Chicago, IL 60689-5443
Phone (708) 235-1589
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1632109 | Other | IL | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
37416 Eagle Way
Chicago, IL 60678
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Melrose Park, IL
- NPI 1801809322
-
- Clinical Pathology/Laboratory Medicine Physician
- Evergreen Park, IL
- NPI 1194768986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774483200000",
"number": "1104848233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 85443",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606895443",
"telephone_number": "708-235-1589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 W 95TH ST",
"city": "EVERGREEN PARK",
"state": "IL",
"postal_code": "608052701",
"telephone_number": "708-228-2875"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONSULTANTS IN CLINICAL PATHOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-25",
"last_updated": "2026-03-26",
"certification_date": "2026-03-26",
"status": "A",
"authorized_official_last_name": "UCKERMAN",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "THERESE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "708-229-5813",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "IL",
"license": "036083197",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1632109",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evergreen Park, IL
- Colleen Marie Coleman
- Tasha Coleman, MA, LPC
- Colleen Collins-Suglich, PT
- Emily Connolly, MOTR/L
- Consultants in Cardiology & Electrophysiololgy LLC
- Consultants in Laboratory Medicine and Pathology, LTD.
- Peggy Lynn Cook, RN
- Core Fitness & Physical Therapy Inc.
- Core Sport & Physical Therapy PLLC
- Karen M Costello, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.