Adventist Health Partners,Inc
Organization Active NPI Internal Medicine Physician · Riverside, IL
NPI 1356386809 · NPPES record last updated Feb 19, 2013
Key facts
- NPI
- 1356386809
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- ADVENTIST HEALTH PARTNERS,INC
- Practice address
- 7234 Ogden Ave
Riverside, IL 60546-2269 - Phone
- (708) 447-1177
- Fax
- (708) 447-9235
- NPI assigned
- Jun 18, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Ruby Mann
- Title
- Director of Managed Care
- Phone
- (630) 856-6884
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 |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
7234 Ogden Ave
Riverside, IL 60546-2269
Mailing address
7234 Ogden Ave
Riverside, IL 60546-2269
Phone (708) 447-1177
Other names
- ADULT MEDICINE PHYSICIANS OF RIVERSIDE
Other providers in Riverside, IL
- Orlando Abrego
- Acacia Roots Counseling LLC
- Adventist Health Partners, Inc
- Cassandra Kay Albert
- Vilija Aleksa
- Alikhan Nadira MD
- Dawne R Anderson
- Nicolas S Anderson
All providers in Riverside, IL · Internal 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 Feb 19, 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.