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Organization
FAMILY MEDICAL CENTER OF LAGRANGE LTD
Active
Organization
FAMILY MEDICAL CENTER OF LAGRANGE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL FRANCIS DUPONT MD (VICE PRESIDENT PHYSICIAN)
(708) 482-8088
Entity
Organization
Contact information
Practice address
5201 S WILLOW SPRINGS ROAD, SUITE 300, LAGRANGE, IL 60525
(708) 482-8088
(708) 482-9034
Mailing address
5201 S WILLOW SPRINGS ROAD, SUITE 300, LAGRANGE, IL 60525
(708) 482-8088
(708) 482-9034
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/26/2006
Last updated
11/05/2012
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