Lagrange Pediatrics Ltd

NPI #1033299649 in La Grange, Illinois

Provider Information

NPI Number: 1033299649
Entity Type: Organization
Organization Name: Lagrange Pediatrics Ltd
Primary Specialty: Pediatrics
Enumeration Date: Oct 17, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 4727 WILLOW SPRINGS ROAD
City: La Grange
State: Illinois
ZIP Code: 60525
Phone: (708) 588-0088

Authorized Official

Name: MARK C MATRAY, MD
Title: PHYSICIAN PRESIDENT
Phone: (708) 588-0088

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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