Family Medical Group of Lagrange
Family Medical Group of Lagrange is an Exclusive Provider Organization in LA Grange, Illinois. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
1415 W 47th StLA Grange, IL 60525-6136
Phone: (708) 579-9375
Fax: (708) 579-9378
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Exclusive Provider Organization (primary) | Taxonomy 302F00000X |
|---|
Record details
| NPI number | 1609806421 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Olga Bartolomeo — Manager · (708) 579-9375 |
| NPI enumerated | July 4, 2006 |
| Last updated in NPPES | December 11, 2007 |
| Mailing address | 1415 W 47th St, La Grange, IL 60525-6136 |