Organization
PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK
Active
Other names
AMITA Mercy Medical Center Diabetic Services
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JO MACKNISKAS (SR DIR NET REV MGT)
(773) 213-0776
Entity
Organization
Contact information
Practice address
1975 MELISSA LN, AURORA, IL 60506-1612
(630) 801-5728
(630) 897-9032
Mailing address
1975 MELISSA LN, AURORA, IL 60506-1612
(630) 801-5728
(630) 897-9032
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
11/26/2021
Last updated
02/10/2022
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