Adventist Health Partners, Inc
Organization Active NPI Family Medicine Physician · Glendale Heights, IL
NPI 1194064139 · NPPES record last updated Mar 12, 2013
Key facts
- NPI
- 1194064139
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- ADVENTIST HEALTH PARTNERS, INC
- Practice address
- 701 Winthrop Ave
Adventist Glenoaks Ed
Glendale Heights, IL 60139-1405 - Phone
- (630) 545-5600
- Fax
- (630) 545-5605
- NPI assigned
- Feb 12, 2013
- Organization subpart
- No
Authorized official
- Name
- Mrs. Ruby Mann
- Title
- Director
- Phone
- (630) 856-6884
Practitioners 2
-
Agnes G Nawrot, FNP-BC
-
Roshni Patel, M.S., CCC-A
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
701 Winthrop Ave
Adventist Glenoaks Ed
Glendale Heights, IL 60139-1405
Mailing address
701 Winthrop Ave
Adventist Glenoaks Ed
Glendale Heights, IL 60139-1405
Phone (630) 545-5600
Other names
- Adventist GlenOaks Primary Care
Other providers in Glendale Heights, IL
- Adventist Glenoaks Hospital
- Adventist Glenoaks Hospital
- Adventist Glenoaks Hospital
- Adventist Glenoaks Hospital
- Adventist Health Partners, Inc
- Adventist Health Partners, Inc
- Adventist Health Partners, Inc
- Adventist Health Partners,Inc
- Affinity Medical Supplies, LLC
- Nicole Ann Alberto
All providers in Glendale Heights, IL · Family Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.