Organization
CORNELL ABRAXAS MIDWEST
Active
Parent organization
CORNELL ABRAXAS GROUP, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CORNELL ABRAXAS GROUP, INC
Authorized official
MS. INEZ C FERRANTE MBA (BUSINESS MANAGER)
(419) 747-0819
Entity
Organization
Contact information
Practice address
2221 64TH ST, WOODRIDGE, IL 60517-2180
(630) 968-6477
Mailing address
2221 64TH ST, WOODRIDGE, IL 60517-2180
(630) 968-6477
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/15/2010
Last updated
04/15/2010
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