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Organization

ABINGTON OUTPATIENT CENTER LLC

Active
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Organization

ABINGTON OUTPATIENT CENTER LLC

Active
Parent organization
GLEN RIDGE ASSOCIATES II LIMITED PARTNERSHIP
Organization subpart
Yes

Provider details

NPI number
Legal business name
GLEN RIDGE ASSOCIATES II LIMITED PARTNERSHIP
Authorized official
MR. FELIPE SUAREZ DE LEON JR. (ADMINISTRATOR)
(847) 729-0000
Entity
Organization

Contact information

Practice address
3901 GLENVIEW RD, GLENVIEW, IL 60025-2467
(847) 729-0000
(847) 729-1552
Mailing address
3901 GLENVIEW RD, GLENVIEW, IL 60025-2467
(847) 729-0000
(847) 729-1552

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548374465
AETNA
IL
01
—
1630123
BCBS
IL
01
—
2152672
UNITED HEALTHCARE
IL
01
—
363621644
HUMANA
IL
Enumeration date
10/13/2006
Last updated
08/12/2008
About Stedi
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