Organization
ADVENTIST HEALTH PARTNERS, INC
Active
Other names
BOLINGBROOK FAMILY MEDICINE
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
329 REMINGTON BLVD, STE 100, BOLINGBROOK, IL 60440-5827
(630) 759-4800
(630) 759-6927
Mailing address
329 REMINGTON BLVD, 100, BOLINGBROOK, IL 60440-7009
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CN4921
RRMC
IL
Enumeration date
06/29/2006
Last updated
06/12/2017
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