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Organization
ADVENTIST HEALTH PARTNERS, INC
Active
Organization
ADVENTIST HEALTH PARTNERS, INC
Active
Other names
Premier Care for Women
Organization subpart
No
Provider details
NPI number
Authorized official
RUBY MANN (DIRECTOR)
(630) 856-6884
Entity
Organization
Contact information
Practice address
1012 95TH ST, SUITE 3, NAPERVILLE, IL 60564-5041
(630) 856-8670
(630) 548-3421
Mailing address
1012 95TH ST, SUITE 3, NAPERVILLE, IL 60564-5041
(630) 856-8670
(630) 548-3421
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
400280
MEDICARE PTAN
—
Enumeration date
12/09/2011
Last updated
06/12/2017
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