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Organization

MARIA CALARA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARIA CALACSAN CALARA (COTA)
(224) 569-6836
Entity
Organization

Contact information

Practice address
471 W TERRA COTTA AVE, CRYSTAL LAKE, IL 60014-3434
(815) 455-0550
Mailing address
4680 BARHARBOR DR, LAKE IN THE HILLS, IL 60156-1086
(224) 569-6836

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
IL

Other

Enumeration date
10/09/2007
Last updated
10/09/2007
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