GYPSUM MEDICAL ASSOCIATES OF NEW MEXICO, PC
Medical Practice at Prime Pkwy, Volo, IL

License number
Illinois MD2011-0778
Category
Osteopathic Medicine
Type
Family Medicine
License number
Illinois MD2011-0778
Category
Medical Practice
Type
Pediatrics
Owner
Name: DR. GEORGE DANIEL MINGEA
Title: OWNER, PHYSICIAN
Phone: (972) 429-5809
Address
Address
4805 Prime Pkwy, Volo, IL 60050
National Provider ID: 1477986065
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GYPSUM MEDICAL ASSOCIATES OF NEW MEXICO, PC

Volo, IL  -  Albuquerque, NM

Registration:
Nov 16, 2011
Addresses:
4805 W Prime Pkwy   , McHenry, IL 60050 (Mailing)
2501 Buena Vis Dr, Albuquerque, NM 87106 (Physical)
State ID:
4533526
Business type:
Domestic Profit
President:
George D Mingea (President)
Agent:
Business Filings Incorporated,123 E Marcy St, Santa Fe, NM 87501 (Physical)

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