Organization
FAMILY MEDICAL CENTER OF LAGRANGE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL FRANCIS DUPONT MD (VICE PRESIDENT PHYSICIAN)
(708) 482-8088
Entity
Organization
Contact information
Practice address
5201 S WILLOW SPRINGS ROAD, SUITE 300, LAGRANGE, IL 60525
(708) 482-8088
(708) 482-9034
Mailing address
5201 S WILLOW SPRINGS ROAD, SUITE 300, LAGRANGE, IL 60525
(708) 482-8088
(708) 482-9034
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/26/2006
Last updated
11/05/2012
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