Organization
LA GRANGE WOMEN'S CLINIC SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS J FUREY MD (PRESIDENT, BOONSLICK MED.GROUP INC)
(708) 352-4630
Entity
Organization
Contact information
Practice address
5201 WILLOW SPRINGS RD, STE 490, LA GRANGE HIGHLANDS, IL 60525-6537
(708) 352-4630
(708) 352-8348
Mailing address
5201 WILLOW SPRINGS RD, STE 490, LA GRANGE HIGHLANDS, IL 60525-6537
(708) 352-4630
(708) 352-8348
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
IL
Other
Enumeration date
07/15/2005
Last updated
08/22/2020
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