Organization
ADVENTIST HEALTH PARTNERS,INC
Active
Other names
FAIRVIEW FAMILY PRACTICE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RUBY MANN (DIRECTOR OF MANAGED CARE)
(630) 856-6884
Entity
Organization
Contact information
Practice address
412 63RD ST, DOWNERS GROVE, IL 60516-2000
(630) 719-5472
(630) 719-5466
Mailing address
412 63RD ST, STE 103, DOWNERS GROVE, IL 60516-2000
(630) 719-5472
(630) 719-5466
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/17/2006
Last updated
06/12/2017
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