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Organization

GREENLEAF MEMORY CLINIC PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MALGORZATA K BACH MD (NEUROLOGY/PHYSICIAN/OWNER)
(608) 320-9006
Entity
Organization

Contact information

Practice address
355 GREENLEAF ST STE H, PARK CITY, IL 60085-5708
(608) 320-9006
(847) 999-3859
Mailing address
355 GREENLEAF ST STE H, PARK CITY, IL 60085-5708
(608) 320-9006
(847) 999-3859

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary

Other

Enumeration date
10/18/2025
Last updated
10/18/2025
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