| NPI | 1366487936 |
|---|---|
| Doing Business As | ADULT MEDICINE PHYSICIANS OF COUNTRYSIDE |
| Entity Type | Organization |
| Authorized Contact | RUBY MANN Director Of Managed Care 630-856-6884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2017-06-12 |