Organization
DOWNERS GROVE GERIATRICS LLC
Active
Organization
DOWNERS GROVE GERIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL MAYORGA MD (MEMBER)
(630) 241-3779
Entity
Organization
Contact information
Practice address
3800 HIGHLAND AVE, SUITE 111, DOWNERS GROVE, IL 60515-1557
(630) 241-3779
(630) 241-9309
Mailing address
4411 ROSLYN RD, DOWNERS GROVE, IL 60515-5804
(630) 241-3779
(630) 241-9309
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036106287
IL
Other
Enumeration date
08/10/2009
Last updated
08/10/2009
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