Maria Medical LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036104904 Issued in IL

Legal business name

MARIA MEDICAL LLC

Practice address

550 E Boughton Rd
Suite 140
Bolingbrook, IL 60440-2100

Phone

(630) 226-9950

Fax

(630) 378-9952

NPI assigned

Dec 3, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Anemaria LutasNPI 1437115870

Title

Member

Phone

(630) 226-9950

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anemaria Lutas, MD

  • Internal Medicine Physician
  • Bluffton, SC
  • NPI 1437115870
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317254400000",
    "number": "1083896914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 BRANDYWINE DR",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463214331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 E BOUGHTON RD",
            "address_2": "SUITE 140",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402100",
            "telephone_number": "630-226-9950",
            "fax_number": "630-378-9952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2011-09-29",
        "status": "A",
        "authorized_official_last_name": "LUTAS",
        "authorized_official_first_name": "ANEMARIA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "630-226-9950"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036104904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nibedita Pramanik Mandal, MPT, PT
• Jaelin Mankins
• Donna Ann Marasco, COTA
• Marcia S. Gibson, Psy.D and Associates, P. C..
• Maria Goldstein, PC
• Maria Nida V. Barino MD LTD
• Patricia Martin, PT
• Ana Martinez-Ruiz, LMT
• Mary Grimwood & Assoc LTD
• Lindsay Elizabeth Maskel, FNP

• Internal Medicine Physician in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.