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Organization

PROVIDEA HEALTH PARTNERS, LLC

Active
Other names
Women's Healthcare of Illinois, Family First Medical Group
Organization subpart
No

Provider details

NPI number
Authorized official
EILEEN JOHNSON (DIRECTOR)
(708) 945-6470
Entity
Organization

Contact information

Practice address
10260 191ST ST, SUITE 100, MOKENA, IL 60448-8801
(708) 572-7606
(708) 469-4358
Mailing address
10260 191ST ST, SUITE 100, MOKENA, IL 60448-8801
(708) 572-7606
(708) 469-4358

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Enumeration date
10/18/2013
Last updated
02/05/2024
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