Organization
PRIVY HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DISTEFANO (CLINIC DIRECTOR)
(352) 317-3214
Entity
Organization
Contact information
Practice address
11 S EVERGREEN AVE, ARLINGTON HEIGHTS, IL 60005-1427
(815) 861-1673
Mailing address
11 S EVERGREEN AVE, ARLINGTON HEIGHTS, IL 60005-1427
Taxonomy
Speciality
Code
Description
License number
State
261QG0250X
Genetics Clinic/Center
Primary
—
—
Other
Enumeration date
12/21/2018
Last updated
12/21/2018
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