Organization
ADVENTIST HEALTH PARTNERS, INC
Active
Other names
RICHARD J. CARROLL, MD
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
460 QUAIL RIDGE DR, WESTMONT, IL 60559-6145
(708) 245-8071
(708) 245-5642
Mailing address
460 QUAIL RIDGE DR, WESTMONT, IL 60559-7009
(708) 245-8071
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
399690
MEDICARE GROUP PTAN
IL
Enumeration date
06/20/2006
Last updated
06/14/2017
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