| Maggiolino Medical, S.c. | |
|
840 S Waukegan Rd Ste 102 Lake Forest IL 60045-2616 | |
| (630) 514-9297 | |
| Not Available |
| Full Name | Maggiolino Medical, S.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 840 S Waukegan Rd Ste 102, Lake Forest, Illinois |
| Authorized Official Name and Position | Mary Dana Foggetti (PRESIDENT) |
| Authorized Official Contact | 6305149297 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maggiolino Medical, S.c. 840 S Waukegan Rd Ste 102 Lake Forest IL 60045-2616 Ph: (630) 514-9297 | Maggiolino Medical, S.c. 840 S Waukegan Rd Ste 102 Lake Forest IL 60045-2616 Ph: (630) 514-9297 |
| NPI Number | 1760175129 |
|---|---|
| Provider Enumeration Date | 06/01/2023 |
| Last Update Date | 06/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760175129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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