Family Medical Group of Lagrange
NPI #1609806421 in La Grange, Illinois
Provider Information
- NPI Number
- 1609806421
- Entity Type
- Organization
- Organization Name
- Family Medical Group of Lagrange
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Jul 4, 2006
- Last Updated
- Dec 11, 2007
Practice Location
Authorized Official
- Name
- OLGA BARTOLOMEO
- Title
- MANAGER
- Phone
- (708) 579-9375
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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