Proviso Partners for Health

NPI #1598126682 in Maywood, Illinois

Provider Information

NPI Number: 1598126682
Entity Type: Organization
Organization Name: Proviso Partners for Health
Primary Specialty: Health Educator
Enumeration Date: Mar 16, 2016
Last Updated: Mar 16, 2016

Practice Location

Address: 2160 S 1ST AVE
Address 2: OFFICE OF COMMUNITY BENEFIT AND ANALYTICS
City: Maywood
State: Illinois
ZIP Code: 60153-3328
Phone: (708) 536-5042

Authorized Official

Name: ANDREW MARTIN, MPS
Title: EXECUTIVE DIRECTOR
Phone: (773) 655-5661

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Health Educator	174H00000X	Primary

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