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Organization

MAINE RIDGE MEDICAL ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LYNN MCROY (BILLING COORDINATOR)
(773) 767-3822
Entity
Organization

Contact information

Practice address
9301 GOLF RD, SUITE 302, DES PLAINES, IL 60016-1667
(847) 296-8151
(847) 296-3915
Mailing address
9301 GOLF RD, SUITE 302, DES PLAINES, IL 60016-1667
(847) 296-8151
(847) 296-3915

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
IL

Other

Enumeration date
11/22/2006
Last updated
08/22/2020
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