| Medical Associates Of Crystal Lake, Llc | |
|
12525 Regency Pkwy Ste F Huntley IL 60142 | |
| (847) 659-8283 | |
| (847) 659-8345 |
| Full Name | Medical Associates Of Crystal Lake, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 12525 Regency Pkwy Ste F, Huntley, Illinois |
| Authorized Official Name and Position | Mohammed I Memon (PRESEIDENT) |
| Authorized Official Contact | 8476598283 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Associates Of Crystal Lake, Llc 12525 Regency Pkwy Ste F Huntley IL 60142-6500 Ph: (847) 659-8283 | Medical Associates Of Crystal Lake, Llc 12525 Regency Pkwy Ste F Huntley IL 60142 Ph: (847) 659-8283 |
| NPI Number | 1013320068 |
|---|---|
| Provider Enumeration Date | 06/07/2014 |
| Last Update Date | 08/10/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013320068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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