| |
5101 Willow Springs Rd La Grange IL 60525-2600 | |
(708) 245-8900 | |
Not Available |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 5101 Willow Springs Rd, La Grange, Illinois |
Authorized Official Name and Position | Ruby Mann (DIRECTOR OF MANAGED CARE) |
Authorized Official Contact | 6308566884 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
5101 Willow Springs Rd La Grange IL 60525-2600 Ph: (708) 245-8900 | 5101 Willow Springs Rd La Grange IL 60525-2600 Ph: (708) 245-8900 |
NPI Number | 1104953280 |
---|---|
Provider Enumeration Date | 02/27/2007 |
Last Update Date | 04/21/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104953280 | NPI | - | NPPES |
1615787 | Other | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Family Doctor Now Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4735 Willow Springs Rd, La Grange, IL 60525 Phone: 630-822-2242 | |
William H. Gros, Md,sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 512 W Burlington Ave, Suite 100, La Grange, IL 60525 Phone: 630-390-1240 Fax: 630-390-1247 | |
Pam Mcquaid Lcsw Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 512 W Burlington Ave Ste 3, La Grange, IL 60525 Phone: 708-639-1693 | |