Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Maggiolino Medical, SC

Organization Family Medicine Physician · NPI 1760175129

Maggiolino Medical, SC provides Family Medicine Physician services in Lake Forest, Illinois. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

840 S Waukegan Rd Ste 102
Lake Forest, IL 60045-2616
Phone: (630) 514-9297
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1760175129
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Foggetti — President · (630) 514-9297
NPI enumeratedJune 1, 2023
Last updated in NPPESJune 1, 2023
Certification dateJune 1, 2023
Mailing address840 S Waukegan Rd Ste 102, Lake Forest, IL 60045-2616

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