Lifescan Labs of Illinois, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LIFESCAN LABS OF ILLINOIS, LLC

Practice address

10148 S. Western Ave
Chicago, IL 60643

Phone

(847) 663-8300

NPI assigned

Jan 31, 2023

Last updated

Mar 3, 2023By 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

Eliyahu Kutoff

Title

Ceo

Phone

(847) 663-8300

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Heather M. Brown, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Westchester, IL
  • NPI 1750382560
  NPD (past)

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677801600000",
    "number": "1851097059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9855 WOODS DR",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771127",
            "telephone_number": "847-663-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10148 S. WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60643",
            "telephone_number": "847-663-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESCAN LABS OF ILLINOIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "KUTOFF",
        "authorized_official_first_name": "ELIYAHU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-663-8300"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifequest Diagnostics LLC
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• Lifesaver Healthcare, LLC
• Lifesaver Intervention Center Inc
• Lifescan Chicago LLC
• Lifescore Foundation
• Lifespan Behavioral Health P.C.
• Lifespan Neurodevelopmental Consultants
• Lifesport Physical Therapy PC
• Lifestart National Fitness

• Clinical Medical Laboratory in Chicago, IL
• Providers in Chicago, 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 Mar 3, 2023; 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.