Active NPI
Adventist Health Partners, Inc
Doing business as Plainfield Family Medicine
- Family Medicine Physician
- Plainfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ADVENTIST HEALTH PARTNERS, INC
- Doing business as
- Plainfield Family Medicine
- Practice address
- 23836 W 135TH St
Plainfield, IL 60544-5620 - Phone
- (815) 254-2403
- Fax
- (815) 267-8380
- NPI assigned
- Jan 19, 2009
- Last updated
- Jun 21, 2018
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
23836 W 135TH St
Plainfield, IL 60544-5620
Mailing address
23836 135TH St
Ste 103
Plainfield, IL 60544-7009
Other names 1
- Plainfield Family Medicine
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 |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D1095833 | Plainfield Family Medicine | Provider-performed microscopy | Feb 18, 2027 |
National Provider Directory
National Provider DirectoryLocations
23836 W 135th St
Plainfield, IL 60544
Phone (815) 254-2403
23836 W 135th St
Unit 103
Plainfield, IL 60544
Phone (815) 254-2403
Practitioners & affiliated clinicians
Practitioners 6
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.
-
- Family Nurse Practitioner
- Hinsdale, IL
- NPI 1750803490
-
- Orthopaedic Surgery Physician
- Hoffman Estates, IL
- NPI 1083662068
-
- Gastroenterology Physician
- Morris, IL
- NPI 1639361413
-
- Psychiatry Physician
- Richardson, TX
- NPI 1508354440
-
- Family Medicine Physician
- Plainfield, IL
- NPI 1639334667
-
- Family Medicine Physician
- Planfield, IL
- NPI 1669553863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232323200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529539200000",
"number": "1407093099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23836 135TH ST",
"address_2": "STE 103",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605447009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23836 W 135TH ST",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605445620",
"telephone_number": "815-254-2403",
"fax_number": "815-267-8380"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVENTIST HEALTH PARTNERS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-19",
"last_updated": "2018-06-21",
"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": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Plainfield Family Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Plainfield, IL
- Advanced Practice Primary Care PLLC
- Advantage Ambulatory Surgery, LLC
- Adventist Bolingbrook Hospital (Uchicago Medicine Adventhealth Imaging Plainfield)
- Adventist Health Partners, Inc (Plainfield Multispecialty Care)
- Adventist Health Partners, Inc (Women First Obstetrics & Gynecology)
- Adventist Health Partners, Inc (Corwin Medical Care)
- Harriet Turyounah Affum
- Ayesha Afridi
- After Action Wellness, PLLC
- Salva Afzal, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.