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Organization
PENTOM HEALTH SERVICES LLC
Active
Organization
PENTOM HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIA RADJA FNP (CEO)
(312) 420-5494
Entity
Organization
Contact information
Practice address
516 GRANT ST, DOWNERS GROVE, IL 60515-3024
(630) 413-1303
(888) 311-3015
Mailing address
516 GRANT ST, DOWNERS GROVE, IL 60515-3024
(630) 413-1303
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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