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701 Winthrop Ave Glendale Heights IL 60139-1405 | |
| (630) 312-3932 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 701 Winthrop Ave, Glendale Heights, Illinois |
| Authorized Official Name and Position | Ruby Mann (DIRECTOR) |
| Authorized Official Contact | 6308566884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
701 Winthrop Ave Glendale Heights IL 60139-1405 Ph: (630) 312-3932 | 701 Winthrop Ave Glendale Heights IL 60139-1405 Ph: (630) 312-3932 |
| NPI Number | 1023256906 |
|---|---|
| Provider Enumeration Date | 01/30/2009 |
| Last Update Date | 02/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023256906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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