Diverge Health Ipa of NY LLC

NPI #1033977665 in Glencoe, Illinois

Provider Information

NPI Number
1033977665
Entity Type
Organization
Organization Name
Diverge Health Ipa of NY LLC
Primary Specialty
Case Management
Enumeration Date
Mar 8, 2024
Last Updated
Apr 8, 2024

Practice Location

Address
500 ADAMS AVE
ZIP Code
60022-1865
Phone
(941) 718-9000

Authorized Official

Name
VINCENT PANTONE, MD
Title
CMO
Phone
(941) 917-9000

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator
Case Management

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