NPI | 1104953280 |
---|---|
Doing Business As | ADVENTIST LAGRANGE FAMILY MEDICINE CENTER |
Entity Type | Organization |
Authorized Contact | RUBY MANN Director Of Managed Care 630-856-6884 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2007-02-27 |
Last Update Date | 2016-04-21 |