Test for Virus Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

TEST FOR VIRUS INC

Practice address

7660 Plaza CT
Willowbrook, IL 60527-5607

Phone

(708) 476-6576

NPI assigned

Feb 14, 2022

Organization subpart

No

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

Authorized official

Name

Shawn Ann Killeen

Title

Owner

Phone

(708) 476-6576

Specialties & licenses 1

Addresses

Other names 1

• Test for Virus Inc Doing business as

Locations

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

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1750036216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7660 PLAZA CT",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605275607",
            "telephone_number": "708-476-6576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7660 PLAZA CT",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605275607",
            "telephone_number": "708-476-6576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEST FOR VIRUS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "KILLEEN",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-476-6576"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Test for Virus Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Gail Tischke, DDS, MS

• Clinical Medical Laboratory in Willowbrook, IL
• Providers in Willowbrook, 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 Feb 15, 2022; 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.