Organization
CARY GROVE MEDICAL ASSOCIATES, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOL BICOMONG DAYA M.D. (MEDICAL DOCTOR)
(815) 444-1913
Entity
Organization
Contact information
Practice address
7105 VIRGINIA RD STE 7, CRYSTAL LAKE, IL 60014-7986
(815) 444-1913
(815) 444-1951
Mailing address
7105 N. VIRGINIA ROAD, UNIT 7, CRYSTAL LAKE, IL 60014-7986
(815) 444-1913
(815) 444-1951
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
IL
Other
Enumeration date
03/08/2007
Last updated
08/22/2020
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