ELITE PATHOLOGY LAB INC (NPI# 1063927572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063927572 |
| Entity Type | Organization |
| Organization Name | ELITE PATHOLOGY LAB INC |
| Practice Address |
3744 W North Ave Chicago IL 60647-4727 |
| Mailing Address |
Po Box 3363 Oak Brook IL 60522-3363 |
| Practice Telephone | 6308899889 |
| Mailing Telephone | 6308899889 |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2017-12-06 |
| Authorized Official Name | DAVID CHUA (PRESIDENT) |
| Authorized Official Telephone | 6308899889 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZC0006X |
Pathology Specialization: Clinical Pathology |
Allopathic & Osteopathic Physicians |
| Street Address |
3744 W NORTH AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60647-4727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035879 | Scott Spine and Health LLC | Chiropractor | 2560 W. Armitage Ave, Unit C2, Chicago, IL 60647 | 2020-08-24 |
| 1003424458 | Emily Gleesing | Physical Therapist | 1923 N Western Ave, Chicago, IL 60647 | 2020-07-21 |
| 1699301358 | Marcella Guzman P.C. | Dentist | 3236 W. Fullerton Ave., Chicago, IL 60647 | 2020-03-13 |
| 1740772342 | Envision Unlimited | Case Management | 2646 N Washtenaw Ave # 3n, Chicago, IL 60647 | 2018-05-31 |
| 1992297535 | Envision Unlimited | Case Management | 2646 N Washtenaw Ave # 2n, Chicago, IL 60647 | 2018-05-30 |
| 1942704580 | Team Rehabilitation Il15, LLC | Physical Therapist | 1923 N Western Avenue, Chicago, IL 60647 | 2018-03-20 |
| 1023517331 | Chicago Medical Healthcare Group, S.c. | Family Medicine | 3648 W Armitage Avenue, Chicago, IL 60647 | 2018-02-02 |
| 1023537693 | Erin Frommeyer | Physician Assistant | 2228 W Dickens Avenue, Chicago, IL 60647 | 2017-09-15 |
| 1457872475 | Stefanie Paola Maurtua | Behavioral Analyst | 2448 West Bloomingdale Ave., Apt 2e, Chicago, IL 60647 | 2017-06-29 |
| 1700322922 | Lumen Optical Illinois 4, LLC | Optometrist | 2420 N Elston, Bucktown, IL 60647 | 2017-01-11 |
| Find all providers in zip 60647 | ||||
| Taxonomy Code | 207ZC0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: new, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic "clinical pathology only" route. Board Certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902416936 | Chicago Lab Services Inc | Pathology | 7422 N Western Ave Ste 1, Chicago, IL 60645-1707 | 2020-08-04 |
| 1467922005 | St Bernard Hospital & Health Care Center | Pathology | 326 W 64th St, Chicago, IL 60621-3114 | 2018-11-27 |
| 1679003446 | Joseph Cho | Pathology | 5841 S Maryland Ave, Chicago, IL 60637-1447 | 2017-06-14 |
| 1164878195 | Angelica Moran | Pathology | 5841 S Maryland Ave # 3083, Chicago, IL 60637 | 2016-05-09 |
| 1154639771 | Peng Ji | Pathology | 420 E Superior St, Rubloff Building 12-172, Chicago, IL 60611-4494 | 2010-09-16 |
| 1457532822 | Solaris Diagnostics PC | Pathology | 3538 W Fullerton Ave, Chicago, IL 60647-2443 | 2007-11-14 |
| 1366631533 | Karen M Frank | Pathology | 5841 S Maryland Ave, Mc 0001, Chicago, IL 60637-1447 | 2007-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023658416 | Haneefah Maryam Cummings | Pathology | 7360 N Lincoln Ave Ste 110, Lincolnwood, IL 60712-1705 | 2020-01-14 |
| 1245487610 | Mohammed Khairy Atieh | Pathology | 2160 S 1st Ave, Building 110, Maywood, IL 60153-3328 | 2008-08-27 |
| 1619133717 | Saeedeh Masoom | Pathology | 2520 Elisha Ave, Zion, IL 60099-2676 | 2008-07-29 |
| 1295905297 | Clinical Pathology Associates, Sc | Pathology | 1225 W Lake St, Melrose Park, IL 60160-4039 | 2008-03-05 |
| 1609044981 | Oak Park Clinical Pathologists, P.C. | Pathology | 3 Erie Ct, Oak Park, IL 60302-2519 | 2008-02-20 |
| 1013134402 | Jason Kang | Pathology | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2007-04-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.