Abdiel Medical Specialty LLC

NPI #1417385238 in Mundelein, Illinois

Provider Information

NPI Number: 1417385238
Entity Type: Organization
Organization Name: Abdiel Medical Specialty LLC
Primary Specialty: Community Health Worker
Enumeration Date: Oct 15, 2013
Last Updated: Oct 15, 2013

Practice Location

Address: 209 S LINCOLN AVE
City: Mundelein
State: Illinois
ZIP Code: 60060-2735
Phone: (847) 566-3129

Authorized Official

Name: TERESA MOILANEN, RN
Title: AGENCY SUPERVISOR
Phone: (847) 566-3129

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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