# ABINGTON OUTPATIENT CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GLEN RIDGE ASSOCIATES II LIMITED PARTNERSHIP
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1629168638
- **Legal business name:** GLEN RIDGE ASSOCIATES II LIMITED PARTNERSHIP
- **Authorized official:** MR. FELIPE SUAREZ DE LEON JR. (ADMINISTRATOR)
- **Authorized official phone:** (847) 729-0000

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 10/13/2006
- **Last updated:** 08/12/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1548374465 | AETNA | IL |
| 01 | — | 1630123 | BCBS | IL |
| 01 | — | 2152672 | UNITED HEALTHCARE | IL |
| 01 | — | 363621644 | HUMANA | IL |