Active NPI
Adventist Health Partners, Inc
Doing business as Advanced Renal Care
- Nephrology Physician
- Hinsdale, IL
National Provider Identifier
1356695829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- ADVENTIST HEALTH PARTNERS, INC
- Doing business as
- Advanced Renal Care
- Practice address
- 333 Chestnut St
Ste L06
Hinsdale, IL 60521-3247 - Phone
- (630) 993-5396
- Fax
- (630) 495-9357
- NPI assigned
- Nov 5, 2012
- 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
- Phone
- (630) 856-6884
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
333 Chestnut St
Ste L06
Hinsdale, IL 60521-3247
Mailing address
333 Chestnut St
Ste L06
Hinsdale, IL 60521-3247
Phone (630) 993-5396
Other names 1
- Advanced Renal Care
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 DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352073600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1360713600000",
"number": "1356695829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 CHESTNUT ST",
"address_2": "STE L06",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605213247",
"telephone_number": "630-993-5396",
"fax_number": "630-495-9357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 CHESTNUT ST",
"address_2": "STE L06",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605213247",
"telephone_number": "630-993-5396",
"fax_number": "630-495-9357"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVENTIST HEALTH PARTNERS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-05",
"last_updated": "2013-02-13",
"status": "A",
"authorized_official_last_name": "MANN",
"authorized_official_first_name": "RUBY",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "630-856-6884",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Advanced Renal Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hinsdale, IL
- Adventist Health Partners, Inc (Family Health Care)
- Adventist Health Partners, Inc (Salt Creek Therapy Center)
- Adventist Health Partners, Inc (LaGrange Oncology Associates)
- Adventist Health Partners, Inc (Salt Creek Family Medicine)
- Adventist Health Partners, Inc (ENT Fellow)
- Adventist Health Partners, Inc (Adventist Arthritis Center)
- Adventist Health Partners, Inc (Hinsdale Obstetrics and Gynecology)
- Adventist Health Partners, Inc (Vascular and Interventional Radiology)
- Adventist Health Partners, Inc (York ENT Surgical Consultants)
- Adventist Health Partners, Inc (West Suburban Pediatric Endocrinology)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; 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.