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Organization
ADVENTIST HEALTH PARTNERS,INC
Active
Organization
ADVENTIST HEALTH PARTNERS,INC
Active
Other names
FAIRVIEW FAMILY PRACTICE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RUBY MANN (DIRECTOR OF MANAGED CARE)
(630) 856-6884
Entity
Organization
Contact information
Practice address
412 63RD ST, DOWNERS GROVE, IL 60516-2000
(630) 719-5472
(630) 719-5466
Mailing address
412 63RD ST, STE 103, DOWNERS GROVE, IL 60516-2000
(630) 719-5472
(630) 719-5466
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/17/2006
Last updated
06/12/2017
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