Maranatha Family Medicine

NPI #1487898417 in Mundelein, Illinois

Provider Information

NPI Number: 1487898417
Entity Type: Organization
Organization Name: Maranatha Family Medicine
Primary Specialty: Family Medicine
Enumeration Date: Apr 21, 2009
Last Updated: Apr 21, 2009

Practice Location

Address: 550 N MIDLOTHIAN RD
City: Mundelein
State: Illinois
ZIP Code: 60060-1613
Phone: (847) 949-8474

Authorized Official

Name: DR. CHESTER GREGORY LASKOWSKI, M.D.
Title: OWNER
Phone: (847) 949-8474

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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