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Organization

HEALTHPARTNERS MEDICAL GROUP, LLC

Active
Parent organization
HEALTHPARTNERS MEDICAL GROUP, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
HEALTHPARTNERS MEDICAL GROUP, LLC
Authorized official
BRIAN DONNELLY (EXECUTIVE VICE PRESIDENT)
(219) 873-2905
Entity
Organization

Contact information

Practice address
2307 LAPORTE AVE, SUITE 8, VALPARAISO, IN 46383-6997
(219) 476-8855
(219) 476-8840
Mailing address
35294 EAGLE WAY, CHICAGO, IL 60678-1352
(219) 879-6531
(219) 872-7869

Taxonomy

Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary

Other

Enumeration date
04/07/2009
Last updated
08/21/2009
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