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Organization

MAGGIOLINO MEDICAL, S.C.

Active
Parent organization
MAGGIOLINO MEDICAL, S.C.
Other names
Medi-Weightloss
Organization subpart
Yes

Provider details

NPI number
Legal business name
MAGGIOLINO MEDICAL, S.C.
Authorized official
DR. MARY DANA FOGGETTI (OWNER)
(630) 514-9297
Entity
Organization

Contact information

Practice address
436 W FRONTAGE RD STE 102, NORTHFIELD, IL 60093-3036
(847) 449-8634
Mailing address
282 KIMBERLY LN, LAKE FOREST, IL 60045-3890
(630) 514-9297

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
03/12/2026
Last updated
03/12/2026
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