Adventist Bolingbrook Hospital

Organization Active NPI Orthopaedic Surgery Physician · Bolingbrook, IL

NPI 1386015642 · NPPES record last updated Oct 13, 2015

Key facts

NPI
1386015642
Entity type
Organization (NPI type 2)
Primary specialty
Orthopaedic Surgery Physician 207X00000X
Legal business name
ADVENTIST BOLINGBROOK HOSPITAL
Practice address
500 Remington Blvd
Bolingbrook, IL 60440-4906
Phone
(630) 312-5000
NPI assigned
Oct 13, 2015
Organization subpart
No

Authorized official

Name
Ruby Mann
Title
Director
Phone
(630) 856-6884

Corporate family (same tax ID) 7

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

National Provider Directory

Tax ID family
Adventist Bolingbrook Hospital (8 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207X00000X Yes

Addresses

Primary practice location

500 Remington Blvd
Bolingbrook, IL 60440-4906

Mailing address

500 Remington Blvd
Bolingbrook, IL 60440-4906

Other names

  • Adventist Bolingbrook Orthopedics Doing business as

Other providers in Bolingbrook, IL

All providers in Bolingbrook, IL · Orthopaedic Surgery Physician in Illinois

Sources for this page

Verify at the official NPI Registry.