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Organization

GARLAND LEGACY LLC

Active
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Organization

GARLAND LEGACY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MAYA GARLAND (DIRECTOR)
(708) 925-7672
Entity
Organization

Contact information

Practice address
1033 SOUTH BLVD, OAK PARK, IL 60302-2823
(708) 965-0667
Mailing address
1033 SOUTH BLVD, OAK PARK, IL 60302-2823

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
363L00000X
Nurse Practitioner

Other

Enumeration date
01/04/2022
Last updated
01/11/2022
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