| Maria Medical LLC | |
|
550 E Boughton Rd Suite 140 Bolingbrook IL 60440-2100 | |
| (630) 226-9950 | |
| (630) 378-9952 |
| Full Name | Maria Medical LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 550 E Boughton Rd, Bolingbrook, Illinois |
| Authorized Official Name and Position | Anemaria Lutas (MEMBER) |
| Authorized Official Contact | 6302269950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maria Medical LLC 1307 Brandywine Dr Munster IN 46321-4331 | Maria Medical LLC 550 E Boughton Rd Suite 140 Bolingbrook IL 60440-2100 Ph: (630) 226-9950 |
| NPI Number | 1083896914 |
|---|---|
| Provider Enumeration Date | 12/03/2007 |
| Last Update Date | 09/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083896914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036104904 (Illinois) | Primary |
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