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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