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Organization
MEDICAL ASSOCIATES OF CRYSTAL LAKE, LLC
Active
Organization
MEDICAL ASSOCIATES OF CRYSTAL LAKE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED I MEMON MD (PRESEIDENT)
(847) 659-8283
Entity
Organization
Contact information
Practice address
12525 REGENCY PKWY STE F, HUNTLEY, IL 60142
(847) 659-8283
(847) 659-8345
Mailing address
12525 REGENCY PKWY STE F, HUNTLEY, IL 60142-6500
(847) 659-8283
(847) 659-8345
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/07/2014
Last updated
08/10/2018
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