Adventist Health Partners, Inc

Key facts

NPI: 1407093099
Entity type: Organization (NPI type 2)
Primary specialty: Family Medicine Physician 207Q00000X
Legal business name: ADVENTIST HEALTH PARTNERS, INC
Practice address: 23836 W 135TH St
Plainfield, IL 60544-5620
Phone: (815) 254-2403
Fax: (815) 267-8380
NPI assigned: Jan 19, 2009
Organization subpart: No

Authorized official

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

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Joseph Cadayona, NP Family Nurse Practitioner · Hinsdale, IL · NPI 1750803490

NPD
Sanjay Kirit Patari, MD Orthopaedic Surgery Physician · Hoffman Estates, IL · NPI 1083662068

NPD
Hadi Siddiqui, D.O., M.P.H. Gastroenterology Physician · Morris, IL · NPI 1639361413

NPD
Alyxandra Lien Bui, DO Psychiatry Physician · Richardson, TX · NPI 1508354440

NPD
Mark Ettore Giacomi Jr., D.O Family Medicine Physician · Plainfield, IL · NPI 1639334667

NPD (past) FAMILY MEDICINE
Joanna Wilk, MD Family Medicine Physician · Planfield, IL · NPI 1669553863

NPD (past) FAMILY MEDICINE

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
14D1095833	Plainfield Family Medicine 23836 135TH Street, Plainfield, IL 60544	Provider-performed microscopy	Feb 18, 2027

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

Locations

23836 W 135th St
Plainfield, IL 60544
Phone (815) 254-2403

23836 W 135th St
Unit 103
Plainfield, IL 60544
Phone (815) 254-2403

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Medicine Physician Group: 193200000X MULTI-SPECIALTY GROUP	207Q00000X			Yes

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

Plainfield Family Medicine Doing business as

Other providers in Plainfield, IL

All providers in Plainfield, IL · Family 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 Jun 21, 2018. 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.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.