Adventist Midwest Health

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ADVENTIST MIDWEST HEALTH

Doing business as

Adventist Lagrange Family Medicine Center

Practice address

5101 Willow Springs Rd
La Grange, IL 60525-2600

Phone

(708) 245-8900

NPI assigned

Feb 27, 2007

Last updated

Apr 21, 2016By 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

• ADVENTIST LAGRANGE FAMILY MEDICINE CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Adventist Midwest Health

  dba Lagrange Memorial Hospital Cardiololgy

  • Cardiovascular Disease Physician
  • La Grange, IL
  • NPI 1821156068

  O20040427000900

  Same enrollment

Locations

Practitioners 50

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.

• Francisco Guillermo Aguilar Jr., MD

  • Clinical Cardiac Electrophysiology Physician
  • Hinsdale, IL
  • NPI 1487637567
  NPD
• George F Aziz, M.D.

  • Interventional Cardiology Physician
  • Joliet, IL
  • NPI 1639133358
  NPD
• Christopher Brenner, MD

  • Family Medicine Physician
  • Countryside, IL
  • NPI 1629020102
  NPD
• Thomas Joseph Cahill, PH.D

  • Clinical Psychologist
  • La Grange, IL
  • NPI 1629123849
  NPD
• Edgar S Carell, M.D.

  • Interventional Cardiology Physician
  • Hinsdale, IL
  • NPI 1174578587
  NPD
• Duane F Follman, M.D.

  • Interventional Cardiology Physician
  • Hinsdale, IL
  • NPI 1831145333
  NPD
• Paul A Freier, M.D.

  • Cardiovascular Disease Physician
  • Hinsdale, IL
  • NPI 1033156781
  NPD
• George Garing Gibbs, M.D.

  • Cardiovascular Disease Physician
  • Hinsdale, IL
  • NPI 1346287927
  NPD
• Mehmet S Gulecyuz, M.D.

  • Pediatric Cardiology Physician
  • Naperville, IL
  • NPI 1588665517
  NPD
• Jerome L Hines, M.D.

  • Cardiovascular Disease Physician
  • Hinsdale, IL
  • NPI 1639117856
  NPD
• Daniel Hunter Smith, MD

  • Family Medicine Physician
  • La Grange, IL
  • NPI 1619925963
  NPD
• Leo Koenig, MD

  • Family Medicine Physician
  • La Grange, IL
  • NPI 1013967322
  NPD

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461196800000",
    "number": "1104953280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 WILLOW SPRINGS RD",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252600",
            "telephone_number": "708-245-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 WILLOW SPRINGS RD",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252600",
            "telephone_number": "708-245-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTIST MIDWEST HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2016-04-21",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1615787",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVENTIST LAGRANGE FAMILY MEDICINE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adventist Health Partners, Inc.
• Adventist Health Partners,Inc (Brookfield Women's Healthcare)
• Adventist Health Partners,Inc (Adventist Midwest Geriatrics Specialists la Grange)
• Adventist Health Partners,Inc (Consulting Surgeons)
• Adventist Midwest Geriatrics Specialists
• Adventist Midwest Health (Adventhealth la Grange)
• Adventist Midwest Health (Uchicago Medicine Adventhealth Home Care)
• Adventist Midwest Health (Adventhealth la Grange)
• Adventist Midwest Health (Lagrange Memorial Hospital Cardiololgy)
• Adventist Midwest Health (Adventhealth la Grange)

• Family Medicine Physician in La Grange, IL
• Providers in La Grange, 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 Apr 21, 2016; 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.

Verify at the official NPI Registry.