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Organization
FAMILY MEDICAL GROUP, S.C
Active
Organization
FAMILY MEDICAL GROUP, S.C
Active
Other names
Family Medical Group,S.C
Organization subpart
No
Provider details
NPI number
Authorized official
MICHALE WASZAK M.D (FAMILY PRACTICE M.D)
(815) 725-3440
Entity
Organization
Contact information
Practice address
330 MADISON ST, SUITE 104, JOLIET, IL 60435-6565
(815) 725-3440
(815) 725-7209
Mailing address
330 MADISON ST, SUITE 104, JOLIET, IL 60435-6565
(815) 725-3440
(815) 725-7209
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/11/2006
Last updated
08/22/2020
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