Organization · NPI-2

Adventist Health Partners, INC

Otolaryngology, Pediatric Otolaryngology · Hinsdale, IL

NPI number1093017626
StatusActive
Last updated in NPPESJun 14, 2017

Details

NPI
1093017626
Entity type
Organization (NPI-2)
Legal business name
Adventist Health Partners, INC
Organization subpart
No
Enumeration date
Dec 2, 2010
Last updated
Jun 14, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207YP0228X Otolaryngology, Pediatric Otolaryngology––Yes

Other names

  • West Suburban Ear Nose & Throat Ws (Doing Business As)

Practice location

12 Salt Creek Ln
Ste 106
Hinsdale, IL 60521-8605

Phone 630-981-0032 · Fax 630-241-0884

Mailing address

12 Salt Creek Ln
Ste 106
Hinsdale, IL 60521-8605

Phone 630-981-0032 · Fax 630-241-0884

Authorized official

Ruby Mann
Director
6308566884

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