Organization
BREAK4HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER L MANDELL (PRESIDENT/CEO)
(847) 309-7698
Entity
Organization
Contact information
Practice address
1535 LAKE COOK RD, #112, NORTHBROOK, IL 60062-1447
(224) 235-4758
Mailing address
401 HUEHL RD, 2A, NORTHBROOK, IL 60062-2300
(847) 513-7905
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
2137912
IL
Other
Enumeration date
08/08/2013
Last updated
08/08/2013
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