Organization
FAMILY MEDICAL GROUP, S.C
Active
Other names
Family Medical Group,S.C
Organization subpart
No
Provider details
NPI number
Authorized official
MICHALE WASZAK M.D (FAMILY PRACTICE M.D)
(815) 725-3440
Entity
Organization
Contact information
Practice address
330 MADISON ST, SUITE 104, JOLIET, IL 60435-6565
(815) 725-3440
(815) 725-7209
Mailing address
330 MADISON ST, SUITE 104, JOLIET, IL 60435-6565
(815) 725-3440
(815) 725-7209
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/11/2006
Last updated
08/22/2020
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