NPIMap

Organization Active NPI

Adventist Glenoaks Hospital

Doing business as Adventhealth Glenoaks

  • Cardiovascular Disease Physician
  • Glendale Heights, IL
National Provider Identifier
1184630576
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
ADVENTIST GLENOAKS HOSPITAL
Doing business as
Adventhealth Glenoaks
Adventist Glenoaks Cardiology
Uchicago Medicine Adventhealth Glenoaks
Practice address
701 Winthrop Ave
Glendale Heights, IL 60139-1405
Phone
(630) 545-8275
Fax
(630) 545-8279
NPI assigned
Jul 31, 2006
Last updated
Feb 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Zachary Dye
Title
Chief Financial Officer
Phone
(630) 864-9299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X Primary

Addresses

Primary practice location

701 Winthrop Ave
Glendale Heights, IL 60139-1405

Mailing address

701 Winthrop Ave
Glendale Heights, IL 60139-1405
Phone (630) 545-8275

Other practice location 1

1000 Remington Blvd Ste 110
Bolingbrook, IL 60440-4708
Phone (312) 243-9829

Other identifiers 1

IdentifierTypeStateIssuer
DA4058OtherILRAILROAD MEDICARE PTAN

Other names 3

  • ADVENTHEALTH GLENOAKS Doing business as
  • ADVENTIST GLENOAKS CARDIOLOGY Doing business as
  • UCHICAGO MEDICINE ADVENTHEALTH GLENOAKS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040122000516 IL Part B Supplier - Clinic/Group Practice 3173425931 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
Practice locations: Glendale Heights, IL

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Glenoaks Med CNTR3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1000 Remington Blvd
Ste 110
Bolingbrook, IL 60440
Phone (312) 243-9829

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1184630576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 WINTHROP AVE",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601391405",
            "telephone_number": "630-545-8275",
            "fax_number": "630-545-8279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 WINTHROP AVE",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601391405",
            "telephone_number": "630-545-8275",
            "fax_number": "630-545-8279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Remington Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Bolingbrook",
            "state": "IL",
            "postal_code": "604404708",
            "country_code": "US",
            "telephone_number": "312-243-9829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVENTIST GLENOAKS HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "DYE",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "630-864-9299"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "DA4058",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVENTHEALTH GLENOAKS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ADVENTHEALTH GLENOAKS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ADVENTIST GLENOAKS CARDIOLOGY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UCHICAGO MEDICINE ADVENTHEALTH GLENOAKS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.