Adventist Health Partners,Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ADVENTIST HEALTH PARTNERS,INC

Practice address

7425 Janes Ave
Suite 100
Woodridge, IL 60517-2356

Phone

(630) 969-9096

Fax

(630) 969-1095

NPI assigned

Jun 17, 2006

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

• FAMILY MEDICINE CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

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

• Brandon Michael Pardi, M.D.

  • Orthopaedic Surgery Physician
  • Bolingbrook, IL
  • NPI 1104192947
  NPD
• David H Park, MD

  • Surgery Physician
  • La Grange Highlands, IL
  • NPI 1326057969
  NPD

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497225600000",
    "number": "1174568992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7425 JANES AVE",
            "address_2": "STE 100",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605172356",
            "telephone_number": "630-969-9096",
            "fax_number": "630-969-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7425 JANES AVE",
            "address_2": "SUITE 100",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605172356",
            "telephone_number": "630-969-9096",
            "fax_number": "630-969-1095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTIST HEALTH PARTNERS,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CN4921",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY MEDICINE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Advanced Wellness Center LTD
• Advanced Wellness Center, LTD
• Advanced Wellness Medical, LLC
• Adventist Health Partners, Inc
• Adventist Health Partners, Inc.
• Adventist Midwest Health
• Karen Loretta Agnich, D.P.M.
• Susan E Ahmari, MD
• Zahab Shahid Ahsan, MD
• Jamilah Akbar

• Family Medicine Physician in Woodridge, IL
• Providers in Woodridge, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.