Organization
ADVENTIST HEALTH PARTNERS,INC
Active
Other names
FAMILY MEDICINE CENTER
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
7425 JANES AVE, SUITE 100, WOODRIDGE, IL 60517-2356
(630) 969-9096
(630) 969-1095
Mailing address
7425 JANES AVE, STE 100, WOODRIDGE, IL 60517-2356
(630) 969-9096
(630) 969-1095
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CN4921
RR MEDICARE
IL
Enumeration date
06/17/2006
Last updated
06/12/2017
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