Organization
HINSDALE HOSPITAL
Active
Other names
HINSDALE FAMILY MEDICINE CENTER OF BOLINGBROOK
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
420 MEDICAL CENTER DR, BOLINGBROOK, IL 60440-4925
(630) 226-8000
(630) 226-8010
Mailing address
420 MEDICAL CENTER DR, BOLINGBROOK, IL 60440-4925
(630) 226-8000
(630) 886-8010
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC5403
RAILROAD MEDICARE
IL
Enumeration date
03/05/2007
Last updated
02/19/2013
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