Adventist Midwest Geriatrics Specialists
Organization Active NPI Skilled Nursing Facility · La Grange, IL
NPI 1063789360 · NPPES record last updated Nov 30, 2011
Key facts
- NPI
- 1063789360
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- ADVENTIST MIDWEST GERIATRICS SPECIALISTS
- Practice address
- 5101 Willow Springs Rd
La Grange, IL 60525-2600 - Phone
- (708) 245-4073
- NPI assigned
- Nov 30, 2011
- Organization subpart
- No
Authorized official
- Name
- Marie Rose Carcellar, APN
- Title
- Nurse Practitioner
- Phone
- (708) 245-4073
Corporate family (same tax ID) 10
National Provider Directory
- Tax ID family
- Osteopathic Physician a
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
5101 Willow Springs Rd
La Grange, IL 60525-2600
Mailing address
5101 Willow Springs Rd
La Grange, IL 60525-2600
Phone (708) 245-4073
Other providers in La Grange, IL
- Adventist Health Partners, Inc
- Adventist Health Partners, Inc
- Adventist Health Partners, Inc.
- Adventist Health Partners,Inc
- Adventist Health Partners,Inc
- Adventist Midwest Health
- Adventist Midwest Health
- Adventist Midwest Health
- Adventist Midwest Health
- Adventist Midwest Health
All providers in La Grange, IL · Skilled Nursing Facility in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.