# ADVENTIST HEALTH PARTNERS, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Midwest Family & Sports Medicine Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659664936
- **Authorized official:** MRS. RUBY MANN (DIRECTOR)
- **Authorized official phone:** (630) 856-6884

## Contact information

- **Practice address:** 1012 95TH ST, SUITE 8, NAPERVILLE, IL 60564-5041
- **Practice address phone:** (630) 778-9444
- **Practice address fax:** (630) 778-9424
- **Mailing address:** 1012 95TH ST STE 3, NAPERVILLE, IL 60564-5040
- **Mailing address phone:** (630) 778-9444
- **Mailing address fax:** (630) 778-9424

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/19/2011
- **Last updated:** 02/15/2013
