DIVERGE HEALTH IPA OF NY LLC

GLENCOE, IL
NPI1033977665
Entity TypeOrganization
Authorized ContactVINCENT PANTONE
Cmo
941-917-9000
Organization Subpart ?No
Primary Taxonomy251B00000X Case Management
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2024-03-08
Last Update Date2024-04-08
Business Address
DIVERGE HEALTH IPA OF NY LLC
500 ADAMS AVE
GLENCOE, IL 60022-1865
Phone number: 941-718-9000
Mailing Address
DIVERGE HEALTH IPA OF NY LLC
500 ADAMS AVE
GLENCOE, IL 60022-1865
Phone number: 941-718-9000