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General NPI Number Information
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NPI Number | 1942191127
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Entity Type | Organization
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Legal Business Name | LCR GROUP LLC
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Dates
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Enumeration Date | 07/14/2025
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 1000 ESSINGTON RD FL 1
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City | JOLIET
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State | IL
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Zip | 60435-2841
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Country | US
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Telephone | 630-720-2161
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Fax | 630-250-3868
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Provider Business Mailing Address
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Address Line | 2405 ESSINGTON RD STE B460
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City | JOLIET
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State | IL
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Zip | 60435-1200
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Country | US
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Telephone | 630-720-2161
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Fax |
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Authorized Official
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Title or Position | LAB DIRECTOR
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Name | CHERITA QUASNY
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Credential | RN
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Telephone | 630-720-2161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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