Polygon Lab Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

POLYGON LAB INC

Practice address

5000 N Cicero Ave
Chicago, IL 60630-2409

Phone

(773) 699-3672

NPI assigned

Sep 5, 2023

Organization subpart

No

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

Authorized official

Name

Samee Mohamed Khan

Title

President

Phone

(773) 699-3672

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1942086095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 N CICERO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 N CICERO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302409",
            "telephone_number": "773-699-3672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLYGON LAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-05",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SAMEE MOHAMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-699-3672"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Claire Polus, MD
• Nicole Polyakov
• Elina Polyakova, M.D.
• Soterios G Polychronopoulos, MD
• Liliya Polyek, OD
• Clifton Paolo Poma, M.D.
• Pedro A Poma, MD
• Tammy A Poma
• Chemely Paola Pomales Rosa, PSYD
• Melanie Pomaville

• 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 Sep 5, 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.