# MARIA MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083896914
- **Authorized official:** ANEMARIA LUTAS (MEMBER)
- **Authorized official phone:** (630) 226-9950

## Contact information

- **Practice address:** 550 E BOUGHTON RD, SUITE 140, BOLINGBROOK, IL 60440-2100
- **Practice address phone:** (630) 226-9950
- **Practice address fax:** (630) 378-9952
- **Mailing address:** 1307 BRANDYWINE DR, MUNSTER, IN 46321-4331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 036104904 | IL | Yes |

## Other

- **Enumeration date:** 12/03/2007
- **Last updated:** 09/29/2011