Organization
DOWNERS GROVE GERIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RACHEL ALIMA MAYORGA M.D. (PRESIDENT)
(630) 241-3779
Entity
Organization
Contact information
Practice address
3800 HIGHLAND AVE STE 111, DOWNERS GROVE, IL 60515-1558
(630) 241-3779
Mailing address
4411 ROSLYN RD, DOWNERS GROVE, IL 60515-5804
(630) 241-3779
(630) 241-9309
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
036106287
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124078365
INDIVIDUAL NPI FOR RACHEL MAYORGA MD
—
Enumeration date
06/20/2008
Last updated
08/26/2008
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