Diverge Health Aco of Northern Illinois

NPI #1902655202 in Glencoe, Illinois

Provider Information

NPI Number
1902655202
Entity Type
Organization
Organization Name
Diverge Health Aco of Northern Illinois
Primary Specialty
Case Management
Enumeration Date
May 17, 2024
Last Updated
May 17, 2024

Practice Location

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

Authorized Official

Name
DR. VINCENT PANTONE, MD
Title
CMO
Phone
(917) 684-7118

Specialties & Taxonomy Codes

Specialty
Case Management

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