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Organization

ADVANTAGE HEALTH PROVIDERS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VICTORIA D FAUSTINO NP (PRESIDENT)
(630) 267-2627
Entity
Organization

Contact information

Practice address
2460 HANBURY LN, MONTGOMERY, IL 60538-5049
(630) 267-2627
(630) 503-6600
Mailing address
2460 HANBURY LN, MONTGOMERY, IL 60538-5049
(630) 267-2627
(630) 503-6600

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.006796
IL

Other

Enumeration date
11/05/2012
Last updated
11/05/2012
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