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Organization
PROVIDEA HEALTH PARTNERS, LLC
Active
Organization
PROVIDEA HEALTH PARTNERS, LLC
Active
Other names
Women's Healthcare of Illinois, Family First Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
EILEEN JOHNSON (DIRECTOR)
(708) 945-6470
Entity
Organization
Contact information
Practice address
10260 191ST ST, SUITE 100, MOKENA, IL 60448-8801
(708) 572-7606
(708) 469-4358
Mailing address
10260 191ST ST, SUITE 100, MOKENA, IL 60448-8801
(708) 572-7606
(708) 469-4358
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
10/18/2013
Last updated
02/05/2024
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