Organization
ABDIEL MEDICAL SPECIALTY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA MOILANEN RN (AGENCY SUPERVISOR)
(847) 566-3129
Entity
Organization
Contact information
Practice address
209 S LINCOLN AVE, MUNDELEIN, IL 60060-2735
(847) 566-3129
(847) 566-1829
Mailing address
209 S LINCOLN AVE, MUNDELEIN, IL 60060-2735
(847) 566-3129
(847) 566-1829
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/15/2013
Last updated
10/15/2013
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