Individual
ARIEL MAGALLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1475 E BELVIDERE RD UNIT 385, GRAYSLAKE, IL 60030-2026
(847) 926-0106
(312) 694-0655
Mailing address
1000 N WESTMORELAND RD, LAKE FOREST, IL 60045-1658
(847) 234-5600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036165634
IL
207Q00000X
Family Medicine Physician
125.075536
IL
207Q00000X
Family Medicine Physician
125075536
IL
Other
Enumeration date
12/13/2015
Last updated
12/06/2023
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