Maria Medical LLC

NPI #1083896914 in Bolingbrook, Illinois

Provider Information

NPI Number: 1083896914
Entity Type: Organization
Organization Name: Maria Medical LLC
Primary Specialty: Internal Medicine
Enumeration Date: Dec 3, 2007
Last Updated: Sep 29, 2011

Practice Location

Address: 550 E BOUGHTON RD
Address 2: SUITE 140
City: Bolingbrook
State: Illinois
ZIP Code: 60440-2100
Phone: (630) 226-9950

Authorized Official

Name: ANEMARIA LUTAS
Title: MEMBER
Phone: (630) 226-9950

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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