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Organization
HINSDALE HOSPITAL
Active
Organization
HINSDALE HOSPITAL
Active
Other names
HINSDALE FAMILY MEDICINE CENTER OF BOLINGBROOK
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RUBY MANN (DIRECTOR OF MANAGED CARE)
(630) 856-6884
Entity
Organization
Contact information
Practice address
420 MEDICAL CENTER DR, BOLINGBROOK, IL 60440-4925
(630) 226-8000
(630) 226-8010
Mailing address
420 MEDICAL CENTER DR, BOLINGBROOK, IL 60440-4925
(630) 226-8000
(630) 886-8010
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC5403
RAILROAD MEDICARE
IL
Enumeration date
03/05/2007
Last updated
02/19/2013
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