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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