Adventist Health Partners, Inc.
Organization Active NPI Obstetrics & Gynecology Physician · Hinsdale, IL
NPI 1386041572 · NPPES record last updated May 17, 2019
Key facts
- NPI
- 1386041572
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- Legal business name
- ADVENTIST HEALTH PARTNERS, INC.
- Practice address
- 908 N Elm St Ste 303
Hinsdale, IL 60521-3625 - Phone
- (630) 920-1347
- NPI assigned
- Dec 3, 2014
- Organization subpart
- No
Authorized official
- Name
- Ruby Mann
- Title
- Director
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician |
207V00000X | Yes | ||
| Obstetrics & Gynecology Nurse Practitioner |
363LX0001X |
Addresses
Primary practice location
908 N Elm St Ste 303
Hinsdale, IL 60521-3625
Mailing address
908 N Elm St Ste 303
Hinsdale, IL 60521-3625
Other names
- OMG Women's Healthcare
Other providers in Hinsdale, IL
- Adventist Health Partners, Inc
- Adventist Health Partners, Inc
- Adventist Health Partners, Inc
- Adventist Health Partners, Inc
- Adventist Health Partners, Inc.
- Adventist Health Partners, Inc.
- Adventist Health Partners, Inc.
- Adventist Health Partners, Inc.
- Adventist Health Partners, Inc.
- Adventist Health Partners,Inc
All providers in Hinsdale, IL · Obstetrics & Gynecology 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 May 17, 2019. 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.