Family Medical Group Of Lagrange in La Grange - Exclusive Provider Organization
Family Medical Group Of Lagrange - NPI 1609806421
Family Medical Group Of Lagrange is a Exclusive Provider Organization in La Grange, Illinois. Family Medical Group Of Lagrange practices all healthcare services and medical treatments related to Exclusive Provider Organization. The NPI Number for Family Medical Group Of Lagrange is 1609806421. The last update date is 2007-12-11.
Family Medical Group Of Lagrange's current location address is 1415 W 47th St, La Grange, Illinois. You can contact this provider via phone number 7085799375 and fax number 7085799378. The mailing address for Family Medical Group Of Lagrange is 1415 W 47th St, La Grange, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Family Medical Group Of Lagrange |
|---|---|
| Address | 1415 W 47th St, La Grange, Illinois |
| Phone Number | 7085799375 |
| Fax Number | 7085799378 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Bartolomeo Olga |
| Telephone Number | 7085799375 |
NPI Number Detail
| NPI Number | 1609806421 |
|---|---|
| Provider Enumeration Date | 2006-07-04 |
| Last Updated Date | 2007-12-11 |
Provider Mailing Address Detail
| Address | 1415 W 47th St |
|---|---|
| City | La Grange |
| State | Illinois (IL) |
| Post Code | 605256136 |
| Phone Number | 7085799375 |
| Fax Number | 7085799378 |
Provider's Primary Taxonomy Detail
| Speciality | Exclusive Provider Organization |
|---|---|
| Taxonomy | 302F00000X |
|
Definition: (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage f |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 521400 | IL | MEDICARE GROUP |
Post Comment/ Review Below
What is the Family Medical Group Of Lagrange's 1609806421?
The Family Medical Group Of Lagrange's NPI (National Provider Identifier) Number is 1609806421. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Family Medical Group Of Lagrange's facilities are situated?
The facilities of Family Medical Group Of Lagrange are physically located at the following address: 1415 W 47Th St, La Grange, IL, 605256136.
What is the Family Medical Group Of Lagrange's area of specialization and corresponding taxonomy classification?
The Family Medical Group Of Lagrange's specialty field is Exclusive Provider Organization, and it falls under the taxonomy code 302F00000X, which categorizes healthcare providers based on their specialties.
When did the Family Medical Group Of Lagrange receive its 1609806421?
The Family Medical Group Of Lagrange was issued its 1609806421 on 2006-07-04, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Family Medical Group Of Lagrange most recently updated or revised?
The information pertaining to Family Medical Group Of Lagrange, including its address, specialty, and other relevant details, was last updated or revised on 2007-12-11.