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Organization

ADVENTIST MIDWEST HEALTH

Active
Other names
HINSDALE HOSPITAL PEDIATRIC SERVICES
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
120 N OAK ST, HINSDALE, IL 60521-3829
(630) 856-3339
Mailing address
120 N OAK ST, HINSDALE, IL 60521-3829
(630) 856-3339

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
821050
GROUP PTAN
IL
Enumeration date
12/06/2007
Last updated
06/21/2018
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