CARY GROVE MEDICAL ASSOCIATES, S.C.

CRYSTAL LAKE, IL
NPI1780715292
Entity TypeOrganization
Authorized ContactSOL BICOMONG DAYA
Medical Doctor
815-444-1913
Organization Subpart ?No
Primary Taxonomy305R00000X Preferred Provider Organization
Enumeration Date2007-03-08
Last Update Date2020-08-22
Business Address
CARY GROVE MEDICAL ASSOCIATES, S.C.
7105 VIRGINIA RD STE 7
CRYSTAL LAKE, IL 60014-7986
Phone number: 815-444-1913
Mailing Address
CARY GROVE MEDICAL ASSOCIATES, S.C.
7105 N. VIRGINIA ROAD UNIT 7
CRYSTAL LAKE, IL 60014-7986
Phone number: 815-444-1913