Organization
PROVISO PARTNERS FOR HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW MARTIN MPS (EXECUTIVE DIRECTOR)
(773) 655-5661
Entity
Organization
Contact information
Practice address
2160 S 1ST AVE, OFFICE OF COMMUNITY BENEFIT AND ANALYTICS, MAYWOOD, IL 60153-3328
(708) 536-5042
Mailing address
2160 S 1ST AVE, OFFICE OF COMMUNITY BENEFIT AND ANALYTICS, MAYWOOD, IL 60153-3328
(708) 536-5042
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
03/16/2016
Last updated
03/16/2016
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