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Organization
ADVENTIST HEALTH PARTNERS, INC
Active
Organization
ADVENTIST HEALTH PARTNERS, INC
Active
Other names
MIDWEST BONE AND JOINT SPECIALISTS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RUBY MANN (DIRECTOR OF FINANCIAL SERVICES)
(630) 856-6884
Entity
Organization
Contact information
Practice address
396 REMINGTON BLVD, STE 130, BOLINGBROOK, IL 60440-4302
(630) 759-1248
(630) 759-0717
Mailing address
396 REMINGTON BLVD, STE 130, BOLINGBROOK, IL 60440-4302
(630) 759-1248
(630) 759-0717
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036096001
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
399980
MEDICARE PTAN
IL
Enumeration date
07/02/2008
Last updated
06/14/2017
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