| Maranatha Family Medicine | |
|
550 N Midlothian Rd Mundelein IL 60060-1613 | |
| (847) 949-8474 | |
| (847) 949-4825 |
| Full Name | Maranatha Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 550 N Midlothian Rd, Mundelein, Illinois |
| Authorized Official Name and Position | Chester Gregory Laskowski (OWNER) |
| Authorized Official Contact | 8479498474 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maranatha Family Medicine 550 N Midlothian Rd Mundelein IL 60060-1613 Ph: (847) 949-8474 | Maranatha Family Medicine 550 N Midlothian Rd Mundelein IL 60060-1613 Ph: (847) 949-8474 |
| NPI Number | 1487898417 |
|---|---|
| Provider Enumeration Date | 04/21/2009 |
| Last Update Date | 04/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487898417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036063544 (Illinois) | Primary |
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