| NPI | 1215943576 |
|---|---|
| Doing Business As | ADVENTIST MIDWEST GERIATRICS SPECIALISTS LA GRANGE |
| Entity Type | Organization |
| Authorized Contact | RUBY MANN Director 630-856-6884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2013-02-13 |