DOWNERS GROVE GERIATRICS LLC
Osteopathic Medicine at Highland Ave, Downers Grove, IL

License number
Illinois 036106287
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: RACHEL MAYORGA MD
Title: MEMBER
Phone: (630) 241-3779
Address
Address
3800 Highland Ave SUITE 111, Downers Grove, IL 60515
National Provider ID: 1700018710
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DOWNERS GROVE GERIATRICS, LLC

Downers Grove, IL

Status:
Inactive
Industry:
Medical Doctor's Office
Registration:
Aug 19, 2008
Addresses:
3800 Highland Ave, Downers Grove, IL 60515 (Physical)
4411 Roslyn Rd, Downers Grove, IL 60515
PO Box 912, Downers Grove, IL 60515
State ID:
02585731
Business type:
Domestic LLC
Expiration:
PERPETUAL
Internal Medicine:
Rachel A. Mayorga (Internal Medicine)

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