Adventist Midwest Health
Organization Active NPI General Acute Care Hospital · La Grange, IL
NPI 1407889652 · NPPES record last updated Feb 11, 2026
Key facts
- NPI
- 1407889652
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 0005017 (IL)
- Legal business name
- ADVENTIST MIDWEST HEALTH
- Practice address
- 5101 Willow Springs Rd
La Grange, IL 60525-2600 - Phone
- (708) 352-1200
- Fax
- (630) 312-7975
- NPI assigned
- Jul 9, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- ADVENTIST MIDWEST HEALTH
Authorized official
- Name
- Austin Rodgers
- Title
- Cfo
- Phone
- (708) 245-6003
Owners & managing parties with NPI records 13
-
Maninder S. Kohli, M.D.
-
Paul D. Ryan, M.D.
-
Vafa Shayani, MD
-
Timothy Jay Pursley, M.D.
Owned or controlled facilities with NPI records 1
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 1
Member of 1
Related certifications (CCN) 1
Facilities with the same owner 93
Practitioners 47
-
Lisa Suklam Lin, CNP
-
Alaina Roy, DO
-
Alap Pradip Shah, M.D.
-
Alexander Shaw, DO
-
Amanda Jean Slater, PSYD
-
Jennifer Swoyer, DO
-
Daphne Tessalee, MD
-
Erin Vaughan, MD
-
Sarah Kay Welch, DO
-
Keenan Adib, MD
-
Nazia Alvi, D.O.
-
Edgar S Carell, M.D.
-
Noura M. Dabbouseh, M.D.
-
Marcin Piotr Dobaczewski, MD, PHD
-
Duane F Follman, M.D.
-
George Garing Gibbs, M.D.
-
Daniel E Krauss, M.D.
-
Jihad Kudsi, MD
-
Karen L Lambert, M.D.
Affiliated clinicians 691
-
Ahmad Abdul Karim, M.D
-
Samantha R Adamczyk, PA-C
-
Keenan Adib, MD
-
Fariha Agha, M.D.
-
Ayesha Y Ahmed, M.D.
-
Nicole Ahrens, CRNA
-
Imran Akbar, MD
-
Syed R Akhter, MD
-
Rudolph Albores, MD
-
Gary Altwerger, M.D.
-
Manuel E. Alva, M.D.
-
Alexis C Alvarado, PA-C
-
Nazia Alvi, D.O.
-
Beejal Yashwant Amin, M.D.
-
Nicolas S Anderson, DPM
-
Lazaro Anguiano Munoz, FNP-C
-
Luke W Anliker, PA
-
Erum Arain, M.D.
-
Imtiaz Arain, MD
-
Azita Ardakani, M.D.
-
Marc A Asselmeier, M.D.
Medicare Care Compare: Hospital
- Listed as
- Uchicago Medicine Adventhealth la Grange
- Overall star rating
- ★★★★★ 5 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Church
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IL
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
- Corporation · Non-profit
- Incorporated
- Nov 1, 1904 in IL
- Enrollment address
- 5101 Willow Springs Rd
La Grange, IL 60525-2600 - Hospital subgroups
- Acute care, Rehabilitation
All disclosed owners & managing parties 43
| Name | Role | Since | Share |
|---|---|---|---|
| Susan Dixon |
Corporate Director |
Dec 9, 2021 | |
| Vafa Shayani |
Corporate Director |
Jan 1, 2024 | |
| Sandra R Valaitis |
Corporate Director |
Jan 1, 2023 | |
| Elden Ramirez |
Corporate Director |
Jan 1, 2022 | |
| Jeffrey Graff |
Corporate Officer |
Sep 11, 2014 | |
| Glynn Scott |
Corporate Director |
Aug 18, 2005 | |
| Adventist Midwest Health |
5% Or Greater Direct Ownership Interest | Feb 1, 2015 | 100% |
| Operational/Managerial Control | Feb 1, 2015 | ||
| Brent G Snyder |
Corporate Director |
Aug 18, 2005 | |
| Karsten Randolph |
Corporate Officer |
Jan 1, 2023 | |
| Corporate Director |
Jan 1, 2023 | ||
| Andrew D Jahn |
Corporate Officer |
Apr 1, 2024 | |
| Corporate Director |
Apr 1, 2024 | ||
| Peter Oconnor |
Corporate Director |
Dec 9, 2010 | |
| Austin Rodgers |
Contracted Managing Employee | Dec 1, 2025 | |
| Corporate Officer |
Dec 1, 2025 | ||
| Operational/Managerial Control |
Dec 1, 2025 | ||
| Aytek Oto |
Corporate Director |
Jan 1, 2023 | |
| Linda Eastman |
Corporate Director |
Dec 5, 2013 | |
| Michael Saunders |
Corporate Officer |
Feb 22, 2007 | |
| Jesse Sutton |
Corporate Officer |
Sep 23, 2025 | |
| Audrey E. Gregory |
Corporate Director |
Aug 22, 2025 | |
| Paul C Rathbun |
Corporate Officer |
Sep 11, 2014 | |
| Timothy Pursley |
Corporate Director |
Jun 6, 2024 | |
| Venanzio Arquilla |
Corporate Director |
Sep 17, 2009 | |
| Adventist Health System Sunbelt Healthcare Corporation |
5% Or Greater Indirect Ownership Interest | Jan 1, 2023 | 49% |
| Kyle R Glass |
Contracted Managing Employee |
Jan 14, 2024 | |
| Corporate Officer |
Jan 14, 2024 | ||
| Operational/Managerial Control |
Jan 14, 2024 | ||
| Cherese Chery |
Corporate Officer |
Jan 1, 2023 | |
| Toni Berrios |
Corporate Officer |
Sep 23, 2025 | |
| Monica Reed |
Corporate Officer |
Feb 19, 2024 | |
| Corporate Director |
Feb 19, 2024 | ||
| Tom Jackiewicz |
Corporate Officer |
Jan 1, 2023 | |
| Corporate Director |
Jan 1, 2023 | ||
| Haney Vincent |
Corporate Officer |
Apr 7, 2022 | |
| John Grys |
Corporate Director |
Jan 1, 2023 | |
| Amy Ross |
Corporate Director |
Jun 6, 2024 | |
| The University of Chicago Medical Center |
5% Or Greater Indirect Ownership Interest | Jan 1, 2023 | 51% |
| Dave Tkachuck |
Contracted Managing Employee |
Jan 6, 2025 | |
| Corporate Officer |
Jan 6, 2025 | ||
| Operational/Managerial Control |
Jan 6, 2025 | ||
| David L Huffman |
Corporate Officer |
Sep 23, 2025 | |
| Robert C Foltz |
Corporate Officer |
Sep 11, 2014 | |
| Jonathan Wright |
Corporate Director |
Dec 1, 2007 | |
| Sanjay K Patari |
Corporate Director |
Jan 1, 2023 | |
| Lynn Addiscott |
Corporate Officer |
Aug 18, 2005 | |
| Paul D Ryan |
Corporate Director |
Jan 1, 2024 | |
| Ivan Samstein |
Corporate Director |
Jan 1, 2023 | |
| Ron Hawkins |
Corporate Director |
Feb 24, 2011 | |
| Maninder Kohli |
Corporate Director |
Jan 1, 2022 | |
| William Holder |
Corporate Director |
Jun 9, 2016 | |
| Beverly Morgan |
Corporate Officer |
Sep 23, 2025 | |
| Adventist Health System Sunbelt Inc |
5% Or Greater Indirect Ownership Interest | Jan 1, 2023 | 49% |
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Uchicago Medicine Adventhealth la Grange |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Feb 1, 2015 Feb 1, 2015 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Tax ID family
- Adventist Midwest Health
- Part of
- Adventist Midwest Health
Locations
2215 S Wolf Rd
Hillside, IL 60162
Phone (630) 856-6360
7270 W College Dr
Palos Heights, IL 60463
Phone (708) 603-5980
7229 Kingery Hwy
Willowbrook, IL 60527
Phone (630) 856-6415
619 Plainfield Rd
Willowbrook, IL 60527
Phone (630) 856-8200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 0005017 | IL | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 364257550001 | Other | IL | CHAMPUS |
| 399 | Other | IL | BLUE CROSS |
| 140065 | Other | IL | UNICARE |
| 140065 | Other | IL | STERLING PLAN |
| 364257550001 | Medicaid | IL |
Other names
- ADVENTHEALTH LA GRANGE
- UCHICAGO MEDICINE ADVENTHEALTH LA GRANGE
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 |
Other providers in La Grange, IL
- Adventist Health Partners, Inc.
- Adventist Health Partners,Inc
- Adventist Health Partners,Inc
- Adventist Midwest Geriatrics Specialists
- Adventist Midwest Health
- Adventist Midwest Health
- Adventist Midwest Health
- Adventist Midwest Health
- Adventist Midwest Health
- Aging Care Connections
All providers in La Grange, IL · General Acute Care Hospital in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2026. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- 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.