1609806421 FAMILY MEDICAL GROUP OF LAGRANGE

Exclusive Provider Organization

Active

Basic Information

Organization Name
FAMILY MEDICAL GROUP OF LAGRANGE
Enumeration Date
July 4, 2006
Last Update
December 11, 2007
Authorized Official
OLGA BARTOLOMEO
MANAGER
Phone: (708) 579-9375

Practice Location

Address
1415 W 47TH ST
LA GRANGE, IL 605256136
Phone
(708) 579-9375
Fax
(708) 579-9378

Mailing Address

Address
1415 W 47TH ST
LA GRANGE, IL 605256136
Phone
(708) 579-9375
Fax
(708) 579-9378

Specialties & Taxonomies

Specialty Code Classification License State Primary
Exclusive Provider Organization
302F00000X Exclusive Provider Organization N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
521400 01 IL MEDICARE GROUP

Frequently Asked Questions

What is FAMILY MEDICAL GROUP OF LAGRANGE's NPI number?
FAMILY MEDICAL GROUP OF LAGRANGE's NPI number is 1609806421.
Which doctor has NPI number 1609806421?
The doctor with NPI number 1609806421 is FAMILY MEDICAL GROUP OF LAGRANGE.
What is FAMILY MEDICAL GROUP OF LAGRANGE's practice address?
FAMILY MEDICAL GROUP OF LAGRANGE's practice address is 1415 W 47TH ST, LA GRANGE, IL, 605256136.
Which doctor practices at 1415 W 47TH ST, LA GRANGE, IL, 605256136?
FAMILY MEDICAL GROUP OF LAGRANGE practices at 1415 W 47TH ST, LA GRANGE, IL, 605256136.
What is FAMILY MEDICAL GROUP OF LAGRANGE's phone number?
FAMILY MEDICAL GROUP OF LAGRANGE's phone number is (708) 579-9375.
Who is (708) 579-9375?
(708) 579-9375 is the phone number for FAMILY MEDICAL GROUP OF LAGRANGE.
What is FAMILY MEDICAL GROUP OF LAGRANGE's specialty?
FAMILY MEDICAL GROUP OF LAGRANGE's specialty is Exclusive Provider Organization.
What type of doctor is FAMILY MEDICAL GROUP OF LAGRANGE?
FAMILY MEDICAL GROUP OF LAGRANGE is a Exclusive Provider Organization.
Is FAMILY MEDICAL GROUP OF LAGRANGE a Exclusive Provider Organization?
Yes, FAMILY MEDICAL GROUP OF LAGRANGE is a Exclusive Provider Organization.
Is FAMILY MEDICAL GROUP OF LAGRANGE still practicing?
Yes, FAMILY MEDICAL GROUP OF LAGRANGE is currently practicing.
Is FAMILY MEDICAL GROUP OF LAGRANGE accepting new patients?
FAMILY MEDICAL GROUP OF LAGRANGE may be accepting new patients. Please call their office at (708) 579-9375 to inquire about availability.
Is NPI 1609806421 still active?
Yes, NPI 1609806421 is currently active.
Where does FAMILY MEDICAL GROUP OF LAGRANGE practice?
FAMILY MEDICAL GROUP OF LAGRANGE practices in LA GRANGE, IL.