Organization
ADVENTIST HEALTH PARTNERS, INC
Active
Other names
ADULT MEDICINE PHYSICIANS OF COUNTRYSIDE
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
6438 JOLIET RD, COUNTRYSIDE, IL 60525-4685
(708) 352-5222
(708) 352-5285
Mailing address
6438 JOLIET RD, COUNTRYSIDE, IL 60525-4685
(708) 352-5222
(708) 352-5285
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Enumeration date
06/18/2006
Last updated
06/12/2017
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