Adventist Health Partners, INC
Family Medicine in Berwyn, IL. Organization (NPI-2).
NPI number1659624849
StatusActive
Last updated in NPPESJun 12, 2017
Details
- NPI
- 1659624849
- Entity type
- Organization (NPI-2)
- Legal business name
- Adventist Health Partners, INC
- Organization subpart
- No
- Enumeration date
- Oct 25, 2012
- Last updated
- Jun 12, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- D.O.C. Family Practice (Doing Business As)
Practice location
6723 Roosevelt RdBerwyn, IL 60402-1007
Phone 708-383-6346 · Fax 708-383-6346
Mailing address
6723 Roosevelt RdBerwyn, IL 60402-1007
Phone 708-383-6346 · Fax 708-383-6346
Authorized official
Ruby Mann
Director
6308566884
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