Organization
MEDICAL HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYROSE TAMORO LAZATIN (OFFICE MANAGER)
(331) 871-6674
Entity
Organization
Contact information
Practice address
167 W BOUGHTON RD STE C, BOLINGBROOK, IL 60440-1945
(331) 871-6674
Mailing address
167 W BOUGHTON RD STE C, BOLINGBROOK, IL 60440-1945
(331) 871-6674
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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