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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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