PSK Services LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PSK SERVICES LLC

Practice address

17499 Dixie Hwy
East Hazel Crest, IL 60429-1826

Phone

(630) 788-0111

NPI assigned

Feb 21, 2022

Organization subpart

No

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

Authorized official

Name

Ali Khan

Title

Manager

Phone

(630) 788-0111

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645401600000",
    "number": "1801541586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 E GOLF RD STE 950",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735034",
            "telephone_number": "630-788-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17499 DIXIE HWY",
            "city": "EAST HAZEL CREST",
            "state": "IL",
            "postal_code": "604291826",
            "telephone_number": "630-788-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSK SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "630-788-0111"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tequcola Perry
• Linda Peterson
• Robin Phillips, CADC
• Shanan Porter
• John Prince, CADC
• Lisa Rothermel
• Ala Saleh
• Gwendolyn Scott
• Veronica Scott, CADC
• Porshaue Shelley

• Clinical Medical Laboratory in East Hazel Crest, IL
• Providers in East Hazel Crest, 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 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.