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Organization

ADVENTIST HEALTH PARTNERS, INC

Active
Other names
DR. DALE LIAUGMINAS
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. RUBY MANN (DIRECTOR)
(630) 856-6884
Entity
Organization

Contact information

Practice address
199 S ADDISON RD, SUITE 108, WOOD DALE, IL 60191-1929
(630) 628-8450
(630) 616-7224
Mailing address
199 S ADDISON RD, SUITE 108, WOOD DALE, IL 60191-1929
(630) 628-8450
(630) 616-7224

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
209398
MEDICARE PTAN
Enumeration date
02/06/2012
Last updated
03/06/2012
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