Provider Demographics
NPI:1114686458
Name:WINDYCITY PRO LABS INC
Entity Type:Organization
Organization Name:WINDYCITY PRO LABS INC
Other - Org Name:WINDYCITY PRO LABS INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DIPAKKUMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-965-5744
Mailing Address - Street 1:1000 GRAND CANYON PKWY STE 108
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-1730
Mailing Address - Country:US
Mailing Address - Phone:847-466-7697
Mailing Address - Fax:
Practice Address - Street 1:1000 GRAND CANYON PKWY STE 108
Practice Address - Street 2:
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169-1730
Practice Address - Country:US
Practice Address - Phone:847-466-7697
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-14
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes291U00000XLaboratoriesClinical Medical LaboratoryGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty