Organization
EXCEPTIONAL HEALTH PARTNERS S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNETTE WELLS (FINANCE MANAGER)
(815) 937-2044
Entity
Organization
Contact information
Practice address
13043 S.E. 2260 RD, MOMENCE, IL 60954
(815) 944-5410
Mailing address
PO BOX 306, KANKAKEE, IL 60901-0306
(815) 937-2044
(815) 937-2029
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
IL
207R00000X
Internal Medicine Physician
Primary
—
IL
208000000X
Pediatrics Physician
—
IL
Other
Enumeration date
10/04/2007
Last updated
10/27/2007
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