Organization
LAGRANGE PEDIATRICS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK C MATRAY MD (PHYSICIAN PRESIDENT)
(708) 588-0088
Entity
Organization
Contact information
Practice address
4727 WILLOW SPRINGS ROAD, LA GRANGE, IL 60525
(708) 588-0088
(708) 588-0588
Mailing address
4727 WILLOW SPRINGS ROAD, LA GRANGE, IL 60525
(708) 588-0088
(708) 588-0588
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
10/17/2006
Last updated
08/22/2020
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