| Adventist Lagrange Family Medicine Center | |
|
5101 Willow Springs Rd La Grange IL 60525-2600 | |
| (708) 245-8900 | |
| Not Available |
| Full Name | Adventist Lagrange Family Medicine Center |
|---|---|
| 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 |
|---|---|
| Adventist Lagrange Family Medicine Center 5101 Willow Springs Rd La Grange IL 60525-2600 Ph: (708) 245-8900 | Adventist Lagrange Family Medicine Center 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 |
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