MEDICARE: TAAG GENETICS CORP.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1366166290
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TAAG GENETICS CORP.

Provider Business Mailing Address
First Line	:	200 W NORTH AVE STE 700
Second Line	:
City	:	WEST CHICAGO
State	:	IL
Zip	:	60185-6242
Country	:	US
Telephone Number	:	630-912-5988
Fax Number	:	630-946-5555

Provider Business Practice Location Address
First Line	:	200 W NORTH AVE STE 700
Second Line	:
City	:	WEST CHICAGO
State	:	IL
Zip	:	60185-6242
Country	:	US
Telephone Number	:	630-912-5988
Fax Number	:	630-946-5555

Authorized Official
Title or Position	:	LAB DIRECTOR
Name	:	ROBERT LEE
Credential	:
Telephone Number	:	630-394-3588

Provider Enumeration Date	:	10/04/2022
Last Update Date	:	10/04/2022

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1285911990 — ELLEN MELOY
Practice Location Address:

3343 N LEAVITT ST APT 1
CHICAGO, IL
60618-6242

Practice Phone: 507-254-1151
Practice Fax:

1518355072 — MRS. JULIE ANNE HARRIS
Practice Location Address:

3343 N LEAVITT ST APT 2
CHICAGO, IL
60618-6242

Practice Phone: 847-338-0972
Practice Fax:

1679331110 — MARY DOUGHERTY
Practice Location Address:

6242 W NORWOOD ST
CHICAGO, IL
60646-4615

Practice Phone: 773-225-8381
Practice Fax:

1114929700 — DR. KATHERINE TACKETT TURPEN AU.D.
Practice Location Address:

6242 POPLAR AVE , HEARING AND BALANCE CENTERS OF WEST TN
MEMPHIS, TN
38119-4730

Practice Phone: 901-842-4327
Practice Fax: 901-842-4330

1649272238 — DR. DANIEL JOSEPH ORCHIK PH.D.
Practice Location Address:

6242 POPLAR AVE , HEARING AND BALANCE CENTERS OF WEST TN
MEMPHIS, TN
38119-4730

Practice Phone: 901-842-4327
Practice Fax: 901-842-4330

Directions to “TAAG GENETICS CORP. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.