Organization Active NPI

Adventist Midwest Health

Doing business as Adventhealth la Grange

  • General Acute Care Hospital
  • La Grange, IL
National Provider Identifier
1407889652
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
0005017 Issued in IL
Legal business name
ADVENTIST MIDWEST HEALTH
Doing business as
Adventhealth la Grange
Uchicago Medicine Adventhealth la Grange
Practice address
5101 Willow Springs Rd
La Grange, IL 60525-2600
Phone
(708) 352-1200
Fax
(630) 312-7975
NPI assigned
Jul 9, 2006
Last updated
Feb 11, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ADVENTIST MIDWEST HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Austin Rodgers
Title
Cfo
Phone
(708) 245-6003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 0005017 IL Primary

Addresses

Primary practice location

5101 Willow Springs Rd
La Grange, IL 60525-2600

Mailing address

5101 Willow Springs Rd
La Grange, IL 60525-2600
Phone (708) 352-1200

Other identifiers 5

IdentifierTypeStateIssuer
140065OtherILSTERLING PLAN
140065OtherILUNICARE
364257550001OtherILCHAMPUS
364257550001MedicaidIL
399OtherILBLUE CROSS

Other names 2

  • ADVENTHEALTH LA GRANGE Doing business as
  • UCHICAGO MEDICINE ADVENTHEALTH LA GRANGE Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler Other CMS HIH
CONNECT URL https://www.mettles.com/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150930001357 IL Part A Provider - Hospital 2769790401 1 other NPI on this enrollment
Practice locations: La Grange, IL; Westchester, IL; Willowbrook, IL; Hillside, IL
O20260223001810 IL Part B Supplier - Intensive Cardiac Rehabilitation 2769790401 Practice locations: La Grange, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407889652. Details of each certification follow.

Hospital certification: CCN 140065

Legal name
ADVENTIST MIDWEST HEALTH
Doing business as
UCHICAGO MEDICINE ADVENTHEALTH LA GRANGE
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Sep 10, 2005
Beds
223
Ownership / control type
Church
Organization structure
CorporationNon-profit
Incorporated
Nov 1, 1904 in IL
Enrollment address
5101 Willow Springs Rd
La Grange, IL 60525-2600
Main/Primary Hospital Location
Hospital subgroups
Acute care, Rehabilitation

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Uchicago Medicine Adventhealth la GrangeCCN 140065 · All quality measures
Overall star rating
5 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Church
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Adventist Midwest Health3 organizations share this tax ID, including this one
Part of
Adventist Midwest Health

Other organizations with this tax ID 2

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2215 S Wolf Rd
Hillside, IL 60162
Phone (630) 856-6360

5101 Willow Springs Rd
Bldg 2
La Grange, IL 60525
Phone (708) 245-6901

5201 Willow Springs Rd
Ste 200
La Grange Highlands, IL 60525
Phone (708) 245-7490

7270 W College Dr
Palos Heights, IL 60463
Phone (708) 603-5980

619 Plainfield Rd
Willowbrook, IL 60527
Phone (630) 856-8200

7229 Kingery Hwy
Willowbrook, IL 60527
Phone (630) 856-6415

Ownership & related parties

All disclosed owners & managing parties 43

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Susan Dixon Individual Corporate DirectorDirector Dec 9, 2021
Vafa Shayani Individual Corporate DirectorDirector Jan 1, 2024
Sandra R Valaitis Individual Corporate DirectorDirector Jan 1, 2023
Elden Ramirez Individual Corporate DirectorDirector Jan 1, 2022
Jeffrey Graff Individual Corporate OfficerAssistant Secretary Sep 11, 2014
Glynn Scott Individual Corporate DirectorDirector Aug 18, 2005
Adventist Midwest Health Organization, Hinsdale, IL Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 1, 2015 100%
Operational/Managerial Control Feb 1, 2015
Brent G Snyder Individual Corporate DirectorDirector Aug 18, 2005
Karsten Randolph Individual Corporate OfficerAssistant Secretary Jan 1, 2023
Corporate DirectorAssistant Secretary Jan 1, 2023
Andrew D Jahn Individual Corporate OfficerChairperson/Director Apr 1, 2024
Corporate DirectorChairperson/Director Apr 1, 2024
Peter Oconnor Individual Corporate DirectorDirector Dec 9, 2010
Austin Rodgers Individual Contracted Managing Employee Dec 1, 2025
Corporate OfficerCfo Dec 1, 2025
Operational/Managerial ControlCfo Dec 1, 2025
Aytek Oto Individual Corporate DirectorDirector Jan 1, 2023
Linda Eastman Individual Corporate DirectorDirector Dec 5, 2013
Michael Saunders Individual Corporate OfficerAssistant Secretary Feb 22, 2007
Jesse Sutton Individual Corporate OfficerAssistant Secretary Sep 23, 2025
Audrey E. Gregory Individual Corporate DirectorDirector Aug 22, 2025
Paul C Rathbun Individual Corporate OfficerAssistant Secretary Sep 11, 2014
Timothy Pursley Individual Corporate DirectorDirector Jun 6, 2024
Venanzio Arquilla Individual Corporate DirectorDirector Sep 17, 2009
Adventist Health System Sunbelt Healthcare Corporation Organization, Altamonte Springs, FL Corporation, Non-profit, Chain home office 5% Or Greater Indirect Ownership Interest Jan 1, 2023 49%
Kyle R Glass Individual Contracted Managing EmployeeRegional Cfo/Treasurer Jan 14, 2024
Corporate OfficerRegional Cfo/Treasurer Jan 14, 2024
Operational/Managerial ControlRegional Cfo/Treasurer Jan 14, 2024
Cherese Chery Individual Corporate OfficerSecretary Jan 1, 2023
Toni Berrios Individual Corporate OfficerAssistant Secretary Sep 23, 2025
Monica Reed Individual Corporate OfficerPresident/Ceo/Board Secretary Feb 19, 2024
Corporate DirectorPresident/Ceo/Board Secretary Feb 19, 2024
Tom Jackiewicz Individual Corporate OfficerChairperson/Director Jan 1, 2023
Corporate DirectorChairperson/Director Jan 1, 2023
Haney Vincent Individual Corporate OfficerAssistant Secretary Apr 7, 2022
John Grys Individual Corporate DirectorDirector Jan 1, 2023
Amy Ross Individual Corporate DirectorDirector Jun 6, 2024
The University of Chicago Medical Center Organization, Chicago, IL Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2023 51%
Dave Tkachuck Individual Contracted Managing EmployeeCeo/VP Jan 6, 2025
Corporate OfficerCeo/VP Jan 6, 2025
Operational/Managerial ControlCeo/VP Jan 6, 2025
David L Huffman Individual Corporate OfficerAssistant Secretary Sep 23, 2025
Robert C Foltz Individual Corporate OfficerAssistant Secretary Sep 11, 2014
Jonathan Wright Individual Corporate DirectorDirector Dec 1, 2007
Sanjay K Patari Individual Corporate DirectorDirector Jan 1, 2023
Lynn Addiscott Individual Corporate OfficerAssistant Secretary Aug 18, 2005
Paul D Ryan Individual Corporate DirectorDirector Jan 1, 2024
Ivan Samstein Individual Corporate DirectorDirector Jan 1, 2023
Ron Hawkins Individual Corporate DirectorDirector Feb 24, 2011
Maninder Kohli Individual Corporate DirectorDirector Jan 1, 2022
William Holder Individual Corporate DirectorDirector Jun 9, 2016
Beverly Morgan Individual Corporate OfficerAssistant Secretary Sep 23, 2025
Adventist Health System Sunbelt Inc Organization, Altamonte Springs, FL Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2023 49%

Owners & managing parties with NPI records 13

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 13

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Uchicago Medicine Adventhealth la GrangeLa Grange, IL, CCN 14T065 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Feb 1, 2015
Feb 1, 2015

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 93

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 93

Practitioners & affiliated clinicians

Practitioners 47

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.

View all 47

Affiliated clinicians 691

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 691

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770768000000",
    "number": "1407889652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 WILLOW SPRINGS RD",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252600",
            "telephone_number": "708-352-1200",
            "fax_number": "630-312-7975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 WILLOW SPRINGS RD",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252600",
            "telephone_number": "708-352-1200",
            "fax_number": "630-312-7975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTIST MIDWEST HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVENTIST MIDWEST HEALTH",
        "enumeration_date": "2006-07-09",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "708-245-6003"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": "0005017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STERLING PLAN",
            "identifier": "140065",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE",
            "identifier": "140065",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "364257550001",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "364257550001",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "399",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "CMS HIH",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "7500 Security Blvd",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212441849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.mettles.com/",
            "affiliation": "N",
            "endpointDescription": "2.16.840.1.113883.3.6037.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "10320 Little Patuxent Pkwy Ste 233-02",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210443313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ADVENTHEALTH LA GRANGE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UCHICAGO MEDICINE ADVENTHEALTH LA GRANGE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UCHICAGO MEDICINE ADVENTHEALTH LA GRANGE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Grange, IL

Sources for this page

Verify at the official NPI Registry.