Organization
EXCEPTIONAL HEALTH PARTNERS, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNETTE WELLS (OFFICE ADMINISTRATOR)
(815) 937-2044
Entity
Organization
Contact information
Practice address
401 N WALL ST, SUITE 206, KANKAKEE, IL 60901-2934
(815) 937-2044
(815) 937-2029
Mailing address
401 N WALL ST, STE 206, KANKAKEE, IL 60901-2934
(815) 937-2044
(815) 937-2029
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036068108
IL
208000000X
Pediatrics Physician
036068108
IL
Other
Enumeration date
07/25/2007
Last updated
12/23/2009
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