Chicago Fertility Laboratory

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

1400699703 Issued in IL

Legal business name

CHICAGO FERTILITY LABORATORY

Practice address

2425 W 22ND St Ste 102
Oak Brook, IL 60523-4643

Phone

(630) 954-0054

NPI assigned

Dec 27, 2007

Organization subpart

No

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

Authorized official

Name

W. Paul Dmowski, M.D., PH.D.

Title

President

Phone

(630) 954-0054

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1376727255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7451",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601817451",
            "telephone_number": "630-954-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 W 22ND ST STE 102",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605234643",
            "telephone_number": "630-954-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO FERTILITY LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "DMOWSKI",
        "authorized_official_first_name": "W. PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-954-0054",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IL",
            "license": "1400699703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackson W Chen, M.D.
• Liloan Cheng, M.D.
• Cherish Home Care
• Charity Chhong, PT
• Tiffany CHI, PT, DPT
• Chicago Pain Clinics, LLC
• Chiro One Wellness Center of Oakbrook SC
• Sombat Chit-Arkhah, PT
• Ewelina Maria Chlon
• Joanne Y Cho, PT, DPT

• Clinical Medical Laboratory in Oak Brook, IL
• Providers in Oak Brook, IL by specialty
• Clinical Medical Laboratory in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.