# EXCEPTIONAL HEALTH PARTNERS S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477741452
- **Authorized official:** MRS. ANNETTE WELLS (FINANCE MANAGER)
- **Authorized official phone:** (815) 937-2044

## Contact information

- **Practice address:** 13043 S.E. 2260 RD, MOMENCE, IL 60954
- **Practice address phone:** (815) 944-5410
- **Mailing address:** PO BOX 306, KANKAKEE, IL 60901-0306
- **Mailing address phone:** (815) 937-2044
- **Mailing address fax:** (815) 937-2029

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | IL | — |
| 207R00000X | Internal Medicine Physician | — | IL | Yes |
| 208000000X | Pediatrics Physician | — | IL | — |

## Other

- **Enumeration date:** 10/04/2007
- **Last updated:** 10/27/2007