Organization
ADVENTIST HEALTH PARTNERS, INC
Active
Other names
Premier Care for Women
Organization subpart
No
Provider details
NPI number
Authorized official
RUBY MANN (DIRECTOR)
(630) 856-6884
Entity
Organization
Contact information
Practice address
1012 95TH ST, SUITE 3, NAPERVILLE, IL 60564-5041
(630) 856-8670
(630) 548-3421
Mailing address
1012 95TH ST, SUITE 3, NAPERVILLE, IL 60564-5041
(630) 856-8670
(630) 548-3421
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
400280
MEDICARE PTAN
—
Enumeration date
12/09/2011
Last updated
06/12/2017
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