FAMILY MEDICAL GROUP OF LAGRANGE

LA GRANGE, IL
NPI1609806421
Entity TypeOrganization
Authorized ContactOLGA BARTOLOMEO
Manager
708-579-9375
Organization Subpart ?No
Primary Taxonomy302F00000X Exclusive Provider Organization
Enumeration Date2006-07-04
Last Update Date2007-12-11
Business Address
FAMILY MEDICAL GROUP OF LAGRANGE
1415 W 47TH ST
LA GRANGE, IL 60525-6136
Phone number: 708-579-9375
Mailing Address
FAMILY MEDICAL GROUP OF LAGRANGE
1415 W 47TH ST
LA GRANGE, IL 60525-6136
Phone number: 708-579-9375