Adventist Health Partners, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ADVENTIST HEALTH PARTNERS, INC

Doing business as

Bolingbrook Family Medicine

Practice address

329 Remington Blvd
Ste 100
Bolingbrook, IL 60440-5827

Phone

(630) 759-4800

Fax

(630) 759-6927

NPI assigned

Jun 29, 2006

Last updated

Jun 12, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Ruby Mann

Title

Director of Managed Care

Phone

(630) 856-6884

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• BOLINGBROOK FAMILY MEDICINE Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chong-Hsiang Liang, MD

  • Obstetrics & Gynecology Physician
  • Carol Stream, IL
  • NPI 1407086143
  NPD
• Eileen Mahler, CNP

  • Adult Health Nurse Practitioner
  • Chicago, IL
  • NPI 1073543427
  NPD
• Scott M Multack, D.O.

  • Obstetrics & Gynecology Physician
  • La Grange Highlands, IL
  • NPI 1275618985
  NPD
• Elizabeth R Richards

  • Advanced Practice Midwife
  • Hinsdale, IL
  • NPI 1659631224
  NPD
• Christine Shih, MD

  • Family Medicine Physician
  • Bolingbrook, IL
  • NPI 1619925021
  NPD
• Lorraine Weber, LCSW

  • Clinical Social Worker
  • Lake Villa, IL
  • NPI 1720500689
  NPD
• Christina J Zwit, CNM

  • Advanced Practice Midwife
  • Oak Lawn, IL
  • NPI 1942761481
  NPD
• Mariam Qureshi, M.D.

  • Psychiatry Physician
  • Brookhaven, GA
  • NPI 1801113204
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497225600000",
    "number": "1023046000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 REMINGTON BLVD",
            "address_2": "100",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604407009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 REMINGTON BLVD",
            "address_2": "STE 100",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604405827",
            "telephone_number": "630-759-4800",
            "fax_number": "630-759-6927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTIST HEALTH PARTNERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2017-06-12",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "RUBY",
        "authorized_official_title_or_position": "DIRECTOR OF MANAGED CARE",
        "authorized_official_telephone_number": "630-856-6884",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "CN4921",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BOLINGBROOK FAMILY MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adventist Bolingbrook Hospital (Adventist Bolingbrook Orthopedics)
• Adventist Bolingbrook Hospital (Adventhealth Bolingbrook)
• Adventist Bolingbrook Hospital (Adventist Bolingbrook Cancer Center)
• Adventist Business Health
• Adventist Health Partners, Inc (Associates of Inpatient Management)
• Adventist Health Partners, Inc (Gastrointestinal Specialty Care)
• Adventist Health Partners, Inc (Midwest General Surgeons)
• Adventist Health Partners, Inc (Midwest Bone and Joint Specialists)
• Adventist Health Partners, Inc (Midwest Concussion & Sports Medicine Center)
• Adventist Health Partners, Inc (Adventist Bolingbrook Anesthesia)

• Family Medicine Physician in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.