Bromenn Physicians Management Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BROMENN PHYSICIANS MANAGEMENT CORPORATION

Doing business as

Advocate Medical Group Bromenn

Practice address

1302 Franklin Ave
Suite 1100
Normal, IL 61761-3551

Phone

(309) 268-2727

Fax

(309) 268-2759

NPI assigned

Dec 29, 2011

Last updated

Dec 29, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

ADVOCATE HEALTH AND HOSPITALS CORPORATIONAs reported in NPPES

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

Authorized official

Name

Ian Stewart

Title

VP Bus Sys, Finance, Ops

Phone

(847) 390-5453

Specialties & licenses 15

Addresses

Other names 1

• Advocate Medical Group Bromenn Doing business as

Part of

Lulla Sunil MD

Locations

Practitioners 41

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.

• Faisal Ahmed, MD

  • Child & Adolescent Psychiatry Physician
  • Normal, IL
  • NPI 1417069881
  NPD (past)
• Jay K. Chauhan, D.O.

  • Otolaryngology Physician
  • Normal, IL
  • NPI 1639170731
  NPD (past)
• Debra Lea Fischer, APN

  • Adult Health Nurse Practitioner
  • El Paso, IL
  • NPI 1578858718
  NPD (past)
• John Loren Florell, PH.D.

  • Marriage & Family Therapist
  • Normal, IL
  • NPI 1538189840
  NPD (past)
• Brian Francis Heatherton, PH.D.

  • Clinical Psychologist
  • Springfield, IL
  • NPI 1235152901

  Professional

  NPD (past)
• Jill Huber, N.P.

  • Nurse Practitioner
  • Normal, IL
  • NPI 1194820829
  NPD (past)
• Steven C. Ingalsbe, M.D.

  • Family Medicine Physician
  • El Paso, IL
  • NPI 1962428128
  NPD (past)
• Peggy Jo Jacobs, RNC, CNM, DNP, APN

  • Advanced Practice Midwife
  • Normal, IL
  • NPI 1598037483
  NPD (past)
• Scott Joseph Januzik, M.D.

  • Emergency Medicine Physician
  • Bloomington, IL
  • NPI 1518903434
  NPD (past)
• Steven K. Jones, MD

  • Family Medicine Physician
  • Eureka, IL
  • NPI 1942228101
  NPD (past)
• Andrea Michelle Kane, MD

  • Pediatrics Physician
  • Bloomington, IL
  • NPI 1285804724
  NPD (past)
• Julie D. Kenny, AUD

  • Audiologist
  • Bloomington, IL
  • NPI 1962784447
  NPD (past)

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1285903799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 LEE ST",
            "address_2": "SUITE 300",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600164539",
            "telephone_number": "847-390-5900",
            "fax_number": "847-390-5922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 FRANKLIN AVE",
            "address_2": "SUITE 1100",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617613551",
            "telephone_number": "309-268-2727",
            "fax_number": "309-268-2759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROMENN PHYSICIANS MANAGEMENT CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVOCATE HEALTH AND HOSPITALS CORPORATION",
        "enumeration_date": "2011-12-29",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "VP BUS SYS, FINANCE, OPS",
        "authorized_official_telephone_number": "847-390-5453"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advocate Medical Group Bromenn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bromenn Healthcare Inc (BroMenn Home Health)
• Bromenn Healthcare Open MRI (BroMenn Healthcare)
• Bromenn Healthcare Pharmacy
• Bromenn Healthcare, Inc.
• Bromenn Physician Management Corporation (Illinois Heart & Lung Associates)
• Bromenn Physicians Management Corporation (BroMenn Medical Group)
• Bromenn Physicians Management Corporation (Advocate Medical Group IHLA)
• Bromenn Regional Medical Center
• Amy Louise Brooke, LCPC
• Adam Brown, FNP

• Family Medicine Physician in Normal, IL
• Providers in Normal, 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 Dec 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.