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303 E Army Trail Rd Suite 300 Bloomingdale IL 60108-2169 | |
| (630) 545-8300 | |
| (630) 980-9736 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 303 E Army Trail Rd, Bloomingdale, Illinois |
| Authorized Official Name and Position | Ruby Mann (DIRECTOR OF MANAGED CARE) |
| Authorized Official Contact | 6308566884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
303 E Army Trail Rd Ste 300 Bloomingdale IL 60108-2169 Ph: (630) 545-8300 | 303 E Army Trail Rd Suite 300 Bloomingdale IL 60108-2169 Ph: (630) 545-8300 |
| NPI Number | 1043255888 |
|---|---|
| Provider Enumeration Date | 06/17/2006 |
| Last Update Date | 06/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043255888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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