Organization
ADVENTIST HEALTH PARTNERS, INC
Active
Organization
ADVENTIST HEALTH PARTNERS, INC
Active
Other names
Gastrointestinal Specialty Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RUBY MANN (DIRECTOR)
(630) 856-6884
Entity
Organization
Contact information
Practice address
396 REMINGTON BLVD, SUITE 260, BOLINGBROOK, IL 60440-4302
(630) 312-7590
(630) 226-0669
Mailing address
396 REMINGTON BLVD, STE 260, BOLINGBROOK, IL 60440-4302
(630) 312-7590
(630) 226-0669
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
399980
GROUP PTAN
IL
Enumeration date
05/09/2011
Last updated
06/14/2017
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