Medical Associates of Crystal Lake, LLC

NPI #1013320068 in Huntley, Illinois

Provider Information

NPI Number: 1013320068
Entity Type: Organization
Organization Name: Medical Associates of Crystal Lake, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Jun 7, 2014
Last Updated: Aug 10, 2018

Practice Location

Address: 12525 REGENCY PKWY STE F
City: Huntley
State: Illinois
ZIP Code: 60142
Phone: (847) 659-8283

Authorized Official

Name: MOHAMMED I MEMON, MD
Title: PRESEIDENT
Phone: (847) 659-8283

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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