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Organization
ADVENTIST HEALTH PARTNERS, INC
Active
Organization
ADVENTIST HEALTH PARTNERS, INC
Active
Other names
WOOD DALE FAMILY MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RUBY MANN (DIRECTOR)
(630) 856-6889
Entity
Organization
Contact information
Practice address
199 S ADDISON RD, SUITE 108, WOOD DALE, IL 60191-1929
(630) 616-7223
(630) 616-7224
Mailing address
199 S ADDISON RD, STE 108, WOOD DALE, IL 60191-1929
(630) 616-7223
(630) 616-7224
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
400480
MEDICARE PTAN
IL
Enumeration date
07/27/2009
Last updated
02/19/2013
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