Provena Mercy Medical Center

NPI #1366727935 in Aurora, Illinois

Provider Information

NPI Number: 1366727935
Entity Type: Organization
Organization Name: Provena Mercy Medical Center
Primary Specialty: Obstetrics & Gynecology - Obstetrics
Enumeration Date: Oct 14, 2011
Last Updated: Oct 14, 2011

Practice Location

Address: 1325 N HIGHLAND AVE
City: Aurora
State: Illinois
ZIP Code: 60506-1449
Phone: (630) 859-2222

Authorized Official

Name: MICHELLE REMSEN
Title: MANAGER
Phone: (630) 801-2027

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology - Obstetrics — Obstetrics	207VX0000X	Primary

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