| Meadows Medical Group, Ltd | |
|
1170 E Belvidere Rd Suite 209 Grayslake IL 60030-2034 | |
| (847) 231-6026 | |
| (847) 231-6029 |
| Full Name | Meadows Medical Group, Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 1170 E Belvidere Rd, Grayslake, Illinois |
| Authorized Official Name and Position | Vina M Maniquis (DOCTOR) |
| Authorized Official Contact | 8472316026 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Meadows Medical Group, Ltd 1170 E Belvidere Rd Suite 209 Grayslake IL 60030-2034 Ph: (847) 231-6026 | Meadows Medical Group, Ltd 1170 E Belvidere Rd Suite 209 Grayslake IL 60030-2034 Ph: (847) 231-6026 |
| NPI Number | 1144347352 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 04/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144347352 | NPI | - | NPPES |
| 4932372 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 042618432 (Illinois) | Primary |
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