Organization
ADVENTIST HEALTH PARTNERS, INC
Active
Other names
Bolingbrook Urology
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RUBY MANN (DIRECTOR)
(630) 856-6884
Entity
Organization
Contact information
Practice address
396 REMINGTON BLVD, SUITE 310, BOLINGBROOK, IL 60440-4920
(630) 226-1436
(630) 226-6938
Mailing address
396 REMINGTON BLVD, STE 310, BOLINGBROOK, IL 60440-4302
(630) 226-1436
(630) 226-6938
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
01/28/2009
Last updated
06/21/2018
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