Adventist Health Partners, Inc

Organization Active NPI Hospitalist Physician · Bolingbrook, IL

NPI 1457516221 · NPPES record last updated Jul 22, 2008

Key facts

NPI
1457516221
Entity type
Organization (NPI type 2)
Primary specialty
Hospitalist Physician 208M00000X
License
036074960 (IL)
Legal business name
ADVENTIST HEALTH PARTNERS, INC
Practice address
500 Remington Blvd
Bolingbrook, IL 60440-4906
Phone
(630) 312-7865
Fax
(630) 312-7902
NPI assigned
Jul 22, 2008
Organization subpart
No

Authorized official

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

Practitioners 3

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
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)CodeLicenseStatePrimary
Hospitalist Physician
Group: 193400000X SINGLE SPECIALTY GROUP
208M00000X 036074960 IL Yes

Addresses

Primary practice location

500 Remington Blvd
Bolingbrook, IL 60440-4906

Mailing address

PO Box 7009
Bolingbrook, IL 60440-7009
Phone (630) 312-7865

Other names

  • ADVENTIST BOLINGBROOK HOSPITAL OB/GYN HOSPITALISTS Doing business as

Other providers in Bolingbrook, IL

All providers in Bolingbrook, IL · Hospitalist Physician in Illinois

Sources for this page

Verify at the official NPI Registry.