Maggiolino Medical, S.c.

NPI #1760175129 in Lake Forest, Illinois

Provider Information

NPI Number: 1760175129
Entity Type: Organization
Organization Name: Maggiolino Medical, S.c.
Primary Specialty: Family Medicine
Enumeration Date: Jun 1, 2023
Last Updated: Jun 1, 2023

Practice Location

Address: 840 S WAUKEGAN RD STE 102
City: Lake Forest
State: Illinois
ZIP Code: 60045-2616
Phone: (630) 514-9297

Authorized Official

Name: DR. MARY DANA FOGGETTI, DO
Title: PRESIDENT
Phone: (630) 514-9297

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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