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INNOVATIVE ADVANCED PRACTICE LLC 1881361335

Overview
Name: INNOVATIVE ADVANCED PRACTICE LLC Specialty: General Practice Physician Type of Practice: Organization Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Specialties
Practice Type: Allopathic & Osteopathic Physicians Classification: General Practice Specialization: . Definition of Specialty: Definition to come…
License & NPI
License #(s): , , , , License State(s): , , , ,
Addresses
Practice Location: INNOVATIVE ADVANCED PRACTICE LLC,4050 HEALTHWAY DR STE 140,AURORA,IL,605048184,US Mailing Address: INNOVATIVE ADVANCED PRACTICE LLC,4050 HEALTHWAY DR STE 140,AURORA,IL,605048184,US
Contact #
Practice location phone #: 6305495429 Practice location fax #: Mailing address Phone #: 6305495429 Mailing Address fax #: Authorized official Name/Telephone #:EDNESHA, RAMEY, NP, CO-OWNER/NURSE PRACTITIONER 6305495429
Misc
Date NPI was obtained: 08/24/2021 Last data data was updated: 12/03/2021 Insurances:

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