Organization
ADVENTIST HEALTH PARTNERS,INC
Active
Other names
CONSULTING SURGEONS
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
5201 WILLOW SPRINGS RD, STE 290, LAGRANGE, IL 60525-6537
(708) 579-0018
(708) 579-7571
Mailing address
5201 S WILLOW SPRINGS, STE 290, LA GRANGE, IL 60525
(708) 579-0018
(708) 579-7571
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
06/19/2006
Last updated
06/14/2017
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