| Downers Grove Geriatrics, Llc | |
|
3800 Highland Ave Ste 111 Downers Grove IL 60515-1558 | |
| (630) 241-3779 | |
| Not Available |
| Full Name | Downers Grove Geriatrics, Llc |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 3800 Highland Ave Ste 111, Downers Grove, Illinois |
| Authorized Official Name and Position | Rachel Alima Mayorga (PRESIDENT) |
| Authorized Official Contact | 6302413779 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Downers Grove Geriatrics, Llc 4411 Roslyn Rd Downers Grove IL 60515-5804 Ph: (630) 241-3779 | Downers Grove Geriatrics, Llc 3800 Highland Ave Ste 111 Downers Grove IL 60515-1558 Ph: (630) 241-3779 |
| NPI Number | 1326209446 |
|---|---|
| Provider Enumeration Date | 06/20/2008 |
| Last Update Date | 08/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326209446 | NPI | - | NPPES |
| 1124078365 | Other | INDIVIDUAL NPI FOR RACHEL MAYORGA MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 036106287 (Illinois) | Primary |
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