| Marianjoy Medical Group | |
|
26w171 Roosevelt Rd Wheaton IL 60187-6078 | |
| (630) 588-7891 | |
| (630) 462-5573 |
| Full Name | Marianjoy Medical Group |
|---|---|
| Speciality | Clinic/center - Rehabilitation |
| Location | 26w171 Roosevelt Rd, Wheaton, Illinois |
| Authorized Official Name and Position | Dominic Martin Serpico (DIRECTOR, FINANCE) |
| Authorized Official Contact | 6305887891 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marianjoy Medical Group 26w171 Roosevelt Rd Wheaton IL 60187-6078 Ph: (630) 588-7891 | Marianjoy Medical Group 26w171 Roosevelt Rd Wheaton IL 60187-6078 Ph: (630) 588-7891 |
| NPI Number | 1023062601 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023062601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 261QR0400X | Clinic/center - Rehabilitation | (* (Not Available)) | Primary |
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