Organization
ABINGTON OUTPATIENT CENTER LLC
Active
Parent organization
GLEN RIDGE ASSOCIATES II LIMITED PARTNERSHIP
Organization subpart
Yes
Provider details
NPI number
Legal business name
GLEN RIDGE ASSOCIATES II LIMITED PARTNERSHIP
Authorized official
MR. FELIPE SUAREZ DE LEON JR. (ADMINISTRATOR)
(847) 729-0000
Entity
Organization
Contact information
Practice address
3901 GLENVIEW RD, GLENVIEW, IL 60025-2467
(847) 729-0000
(847) 729-1552
Mailing address
3901 GLENVIEW RD, GLENVIEW, IL 60025-2467
(847) 729-0000
(847) 729-1552
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548374465
AETNA
IL
01
—
1630123
BCBS
IL
01
—
2152672
UNITED HEALTHCARE
IL
01
—
363621644
CIGNA
IL
Enumeration date
10/13/2006
Last updated
08/12/2008
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