| Lagrange Medical Healthcare, Ltd | |
|
6170 Joliet Rd Countryside IL 60525-3956 | |
| (708) 352-0330 | |
| (708) 352-8905 |
| Full Name | Lagrange Medical Healthcare, Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 6170 Joliet Rd, Countryside, Illinois |
| Authorized Official Name and Position | Hasan M Khan (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7083520330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lagrange Medical Healthcare, Ltd 6170 Joliet Rd Countryside IL 60525-3956 Ph: (708) 352-0330 | Lagrange Medical Healthcare, Ltd 6170 Joliet Rd Countryside IL 60525-3956 Ph: (708) 352-0330 |
| NPI Number | 1194829325 |
|---|---|
| Provider Enumeration Date | 09/08/2006 |
| Last Update Date | 05/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194829325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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