Acgt, Inc.

Primary specialty

Genetics Clinic/CenterTaxonomy code 261QG0250X

Legal business name

ACGT, INC.

Practice address

35 W Waltz Dr
Wheeling, IL 60090-6052

Phone

(847) 520-9162

Fax

(847) 520-9163

NPI assigned

Jul 14, 2017

Last updated

Jul 21, 2022By 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

David Cook, JD

Title

General Counsel

Phone

(847) 520-9162

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1760904361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 W WALTZ DR",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600906052",
            "telephone_number": "847-520-9162",
            "fax_number": "847-520-9163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 W WALTZ DR",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600906052",
            "telephone_number": "847-520-9162",
            "fax_number": "847-520-9163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACGT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "GENERAL COUNSEL",
        "authorized_official_telephone_number": "847-520-9162",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "261QG0250X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Genetics",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Wheeling, IL
• Providers in Wheeling, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.