| NPI | 1043255888 |
|---|---|
| Doing Business As | GLENDALE FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | RUBY MANN Director Of Managed Care 630-856-6884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2017-06-14 |