Adventist Health Partners, Inc

Organization Active NPI Internal Medicine Physician · Bolingbrook, IL

NPI 1003247602 · NPPES record last updated Jun 13, 2017

Key facts

NPI
1003247602
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
Legal business name
ADVENTIST HEALTH PARTNERS, INC
Practice address
1000 Remington Blvd
Ste 200
Bolingbrook, IL 60440-5114
Phone
(630) 312-7865
NPI assigned
Dec 6, 2013
Organization subpart
No

Authorized official

Name
Ruby Mann
Title
Director
Phone
(630) 856-6884

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040127000064 IL Part B Supplier - Clinic/Group Practice 0244135762 Receives reassigned benefits from 392 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207R00000X Yes

Addresses

Primary practice location

1000 Remington Blvd
Ste 200
Bolingbrook, IL 60440-5114

Mailing address

1000 Remington Blvd
Ste 200
Bolingbrook, IL 60440-5114
Phone (630) 312-7865

Other names

  • Associates of Inpatient Management Doing business as

Other providers in Bolingbrook, IL

All providers in Bolingbrook, IL · Internal Medicine Physician in Illinois

Sources for this page

Verify at the official NPI Registry.