Organization
PROVENA MERCY MEDICAL CENTER
Active
Other names
Ob Laborists
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE REMSEN (MANAGER)
(630) 801-2027
Entity
Organization
Contact information
Practice address
1325 N HIGHLAND AVE, AURORA, IL 60506-1449
(630) 859-2222
Mailing address
1325 N HIGHLAND AVE, AURORA, IL 60506-1449
(630) 859-2222
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
—
—
Other
Enumeration date
10/14/2011
Last updated
10/14/2011
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