Organization
B&A HEALTH PROVIDER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNALIZA S TEANO (PRESIDENT)
(708) 846-4972
Entity
Organization
Contact information
Practice address
1450 PLAINFIELD RD STE 5, DARIEN, IL 60561-5944
(708) 846-4972
Mailing address
507 W WALNUT AVE, DES PLAINES, IL 60016-5817
(224) 251-8149
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/10/2020
Last updated
04/18/2025
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