Organization
MARIA MEDICAL LLC
Active
Organization
MARIA MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANEMARIA LUTAS (MEMBER)
(630) 226-9950
Entity
Organization
Contact information
Practice address
550 E BOUGHTON RD, SUITE 140, BOLINGBROOK, IL 60440-2100
(630) 226-9950
(630) 378-9952
Mailing address
1307 BRANDYWINE DR, MUNSTER, IN 46321-4331
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036104904
IL
Other
Enumeration date
12/03/2007
Last updated
09/29/2011
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