Active NPI
Adventist Health Partners,Inc
Doing business as Family Medicine Center
- Family Medicine Physician
- Woodridge, IL
National Provider Identifier
1174568992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ADVENTIST HEALTH PARTNERS,INC
- Doing business as
- Family Medicine Center
- Practice address
- 7425 Janes Ave
Suite 100
Woodridge, IL 60517-2356 - Phone
- (630) 969-9096
- Fax
- (630) 969-1095
- NPI assigned
- Jun 17, 2006
- Last updated
- Jun 12, 2017
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
7425 Janes Ave
Suite 100
Woodridge, IL 60517-2356
Mailing address
7425 Janes Ave
Ste 100
Woodridge, IL 60517-2356
Phone (630) 969-9096
Other names 1
- FAMILY MEDICINE CENTER
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 DirectoryLocations
2050 S Finley Rd
Lombard, IL 60148
Phone (630) 495-2899
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Orthopaedic Surgery Physician
- Bolingbrook, IL
- NPI 1104192947
-
- Surgery Physician
- La Grange Highlands, IL
- NPI 1326057969
NPI Registry JSON
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": [],
"endpoints": [],
"other_names": [
{
"organization_name": "FAMILY MEDICINE CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Woodridge, IL
- Advanced Wellness Center LTD
- Advanced Wellness Center, LTD
- Advanced Wellness Medical, LLC
- Adventist Health Partners, Inc (Advanced Midwest Women's HealthCare)
- Adventist Health Partners, Inc. (West Suburban Allergy and Asthma)
- Adventist Midwest Health (Uchicago Medicine Adventhealth Imaging Woodridge)
- Karen Loretta Agnich, D.P.M.
- Susan E Ahmari, MD
- Zahab Shahid Ahsan, MD
- Jamilah Akbar
Sources for this page
- 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.