Lake McHenry Pathology Associates LTD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

LAKE MCHENRY PATHOLOGY ASSOCIATES LTD

Practice address

3701 Doty Rd
Woodstock, IL 60098-7509

Phone

(815) 338-2500

NPI assigned

Jul 19, 2005

Organization subpart

No

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

Authorized official

Name

Nabil O Ali, M.D.

Title

Chairman

Phone

(815) 338-2500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1750380101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E 22ND ST",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486110",
            "telephone_number": "630-874-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 DOTY RD",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600987509",
            "telephone_number": "815-338-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE MCHENRY PATHOLOGY ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "NABIL",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "815-338-2500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janine A. Krueger, PHARM.D.
• Cathy A Kruse
• Agnieszka Krzeminska, LCPC, NCC, CCMHC
• Emily Kunash, M.A.
• Samantha C Kurkjian, CP
• Nicole Lamarca, QMHP
• Fleur V Langner, PT, DPT
• Laura M Larkner, DO
• Astrid Larsen, PHD, LCPC, MBA
• Faith Denise Laski, LCPC

• Anatomic Pathology & Clinical Pathology Physician in Woodstock, IL
• Providers in Woodstock, IL by specialty
• Anatomic Pathology & Clinical Pathology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; 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.