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Organization
ADVENTIST HEALTH PARTNERS,INC
Active
Organization
ADVENTIST HEALTH PARTNERS,INC
Active
Other names
FAMILY MEDICINE CENTER
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
7425 JANES AVE, SUITE 100, WOODRIDGE, IL 60517-2356
(630) 969-9096
(630) 969-1095
Mailing address
7425 JANES AVE, STE 100, WOODRIDGE, IL 60517-2356
(630) 969-9096
(630) 969-1095
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CN4921
RR MEDICARE
IL
Enumeration date
06/17/2006
Last updated
06/12/2017
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