Lagrange Pediatrics Ltd

NPI 1033299649 - Pediatrics - 208000000X

NPI Details
NPI 1033299649
Enumeration Date 10/17/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MARK C MARK
Position PHYSICIAN PRESIDENT
Phone (708) 588-0088
Fax (708) 588-0588
Practice Location
4727 WILLOW SPRINGS ROAD
LA GRANGE IL, 60525, US
Phone (708) 588-0088
Fax (708) 588-0588
Business Location
4727 WILLOW SPRINGS ROAD
LA GRANGE IL, 60525, US
Phone (708) 588-0088
Fax (708) 588-0588
Toxanomy
Taxonomy Code 208000000X
License State
License Number
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According to our database, Lagrange Pediatrics Ltd NPI is 1033299649, taxonomy code is 208000000X Lagrange Pediatrics Ltd physically located at 4727 Willow Springs Road, La Grange IL, 60525. NPI Number 1033115704 has the healthcare provider type.

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1033299649 NPI number is provided on an as is basis without warranty of any kind. 1033299649 is maintained by the National Plan & Provider Enumeration System. The contents of Lagrange Pediatrics Ltd are for informational purposes only.