Chicago Clinical Laboratories, LTD

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

14D0427920 Issued in IL

Legal business name

CHICAGO CLINICAL LABORATORIES, LTD

Doing business as

Nicl Laboratories

Practice address

306 Era Dr
Northbrook, IL 60062-1834

Phone

(847) 509-9779

Fax

(847) 509-9255

NPI assigned

Jun 1, 2005

Last updated

Dec 19, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joel Christopher Welder

Title

President

Phone

(847) 509-9779

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• NICL LABORATORIES Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766102400000",
    "number": "1659373900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 ERA DR",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621834",
            "telephone_number": "847-509-9779",
            "fax_number": "847-509-9255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 ERA DR",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621834",
            "telephone_number": "847-509-9779",
            "fax_number": "847-509-9255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO CLINICAL LABORATORIES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A",
        "authorized_official_last_name": "WELDER",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-509-9779"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IL",
            "license": "14D0427920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200072870A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407557900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NICL LABORATORIES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Northbrook, IL
• Providers in Northbrook, 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 Dec 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.