Active NPI
Adventist Health Partners,Inc
Doing business as Brookfield Women's Healthcare
- Obstetrics & Gynecology Physician
- La Grange, IL
National Provider Identifier
1063454387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- ADVENTIST HEALTH PARTNERS,INC
- Doing business as
- Brookfield Women's Healthcare
- Practice address
- 5201 S. Willow Springs Rd
Ste 120
La Grange, IL 60525 - Phone
- (708) 245-6097
- Fax
- (708) 245-5783
- NPI assigned
- Jun 12, 2006
- Last updated
- Feb 26, 2013
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | NU | Primary |
Addresses
Primary practice location
5201 S. Willow Springs Rd
Ste 120
La Grange, IL 60525
Mailing address
5201 S. Willow Springs Rd
Ste 120
La Grange, IL 60525
Phone (708) 245-6097
Other names 1
- BROOKFIELD WOMEN'S HEALTHCARE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Advanced Practice Midwife
- Hinsdale, IL
- NPI 1033512207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1361836800000",
"number": "1063454387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5201 S. WILLOW SPRINGS RD",
"address_2": "STE 120",
"city": "LA GRANGE",
"state": "IL",
"postal_code": "60525",
"telephone_number": "708-245-6097",
"fax_number": "708-245-5783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 S. WILLOW SPRINGS RD",
"address_2": "STE 120",
"city": "LA GRANGE",
"state": "IL",
"postal_code": "60525",
"telephone_number": "708-245-6097",
"fax_number": "708-245-5783"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVENTIST HEALTH PARTNERS,INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-12",
"last_updated": "2013-02-26",
"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": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BROOKFIELD WOMEN'S HEALTHCARE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in La Grange, IL
- Patricia Abernathy
- Kasey Mary Abrahamsen, SLP
- Adventist Health Partners, Inc (Family Medicine of Western Springs)
- Adventist Health Partners, Inc (Adult Medicine Physicians of LaGrange)
- Adventist Health Partners, Inc.
- Adventist Health Partners,Inc (Adventist Midwest Geriatrics Specialists la Grange)
- Adventist Health Partners,Inc (Consulting Surgeons)
- Adventist Midwest Geriatrics Specialists
- Adventist Midwest Health (Adventist Lagrange Family Medicine Center)
- Adventist Midwest Health (Adventhealth la Grange)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.