Organization · NPI-2
Adventist Health Partners, INC
Family Medicine · Wood Dale, IL
NPI number1962632877
StatusActive
Last updated in NPPESFeb 19, 2013
Details
- NPI
- 1962632877
- Entity type
- Organization (NPI-2)
- Legal business name
- Adventist Health Partners, INC
- Organization subpart
- No
- Enumeration date
- Jul 27, 2009
- Last updated
- Feb 19, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- Wood Dale Family Medicine (Doing Business As)
Practice location
199 S Addison RdSuite 108
Wood Dale, IL 60191-1929
Phone 630-616-7223 · Fax 630-616-7224
Mailing address
199 S Addison RdSte 108
Wood Dale, IL 60191-1929
Phone 630-616-7223 · Fax 630-616-7224
Authorized official
Ruby Mann
Director
6308566889
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