Organization
ADELANTE COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANUEL E. ALVA MD (PRESIDENT)
(708) 797-3279
Entity
Organization
Contact information
Practice address
6840 OGDEN AVE, BERWYN, IL 60402-3645
(708) 797-3279
(708) 775-6060
Mailing address
5625 BENTLEY AVE, CLARENDON HILLS, IL 60514-1509
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
07/21/2015
Last updated
05/26/2020
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