CCN: 145667 NPI: 1427461292 Organization

AVANTARA PARK RIDGE

1601 N WESTERN AVE
PARK RIDGE, IL 600681233

Contact Information

Phone 8478255531
Fax 8473166659
Enumeration Date 2014-06-09
Last Updated 2014-06-09

Taxonomies

Code: 314000000X (Primary) License State: IL

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 16984

providerType 38

vbpAdjustment 0.9826114713

censusDivision 3

cbsaActualGeographicLocation 16984

providerType 38

vbpAdjustment 0.9802564842

censusDivision 0

cbsaActualGeographicLocation 16984

providerType 38

vbpAdjustment 0.9802538758

censusDivision 0

cbsaActualGeographicLocation 16984

providerType 38

vbpAdjustment 0.992

censusDivision 0

cbsaActualGeographicLocation 16984

providerType 38

vbpAdjustment 0.992

censusDivision 0

cbsaActualGeographicLocation 16984

providerType 38

vbpAdjustment 0.980278308

censusDivision 0

cbsaActualGeographicLocation 16974

providerType 38

vbpAdjustment 1.0218078475

censusDivision 0

cbsaActualGeographicLocation 16974

providerType 38

vbpAdjustment 1.0162402643

censusDivision 0

cbsaActualGeographicLocation 16974

providerType 38

vbpAdjustment 1.0162402643

Outpatient Payment Attributes (OPSF) View Dictionary →

No OPSF records found for this provider.