Organization
LEXINGTON HEALTH CARE CENTER OF LAGRANGE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN SAMATAS (PRESIDENT)
(630) 458-4700
Entity
Organization
Contact information
Practice address
4735 WILLOW SPRINGS RD, LA GRANGE, IL 60525-6130
(708) 352-6900
(708) 482-0239
Mailing address
665 W NORTH AVE, SUITE 500, LOMBARD, IL 60148-1134
(630) 458-4700
(630) 458-4770
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
0038083
IL
Other
Enumeration date
03/12/2007
Last updated
02/10/2009
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