Organization
ADVENTIST HEALTH PARTNERS, INC
Active
Other names
Healthcare for Women
Organization subpart
No
Provider details
NPI number
Authorized official
RUBY MANN (MGR)
(630) 856-6884
Entity
Organization
Contact information
Practice address
5207 MAIN ST, DOWNERS GROVE, IL 60515-4652
(630) 969-7706
(630) 971-6373
Mailing address
5207 MAIN ST, DOWNERS GROVE, IL 60515-4652
(630) 969-7706
(630) 971-6373
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
400480
GROUP MEDICARE PTAN
—
Enumeration date
09/14/2012
Last updated
06/12/2017
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