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Organization
CORNELL ABRAXAS MIDWEST
Active
Organization
CORNELL ABRAXAS MIDWEST
Active
Parent organization
CORNELL ABRAXAS GROUP, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CORNELL ABRAXAS GROUP, INC
Authorized official
MS. INEZ C FERRANTE MBA (BUSINESS MANAGER)
(419) 747-0819
Entity
Organization
Contact information
Practice address
2221 64TH ST, WOODRIDGE, IL 60517-2180
(630) 968-6477
Mailing address
2221 64TH ST, WOODRIDGE, IL 60517-2180
(630) 968-6477
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
NULL
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/15/2010
Last updated
04/15/2010
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