NPI | 1639114572 |
---|---|
Doing Business As | BOLINGBROOK FAMILY HEALTH CARE |
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 | 2013-02-15 |