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
-
Elaine R Cheng, MD
-
Bachar Hamad, M.D.
-
Keith L Komnick, M.D.
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician |
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
Other providers in Bolingbrook, IL
- Adventist Health Partners, Inc
- Adventist Health Partners, Inc
- Adventist Health Partners, Inc
- Adventist Health Partners, Inc
- Adventist Health Partners, Inc
- Adventist Health Partners, Inc
- Adventist Health Partners, Inc
- Adventist Health Partners, Inc
- Adventist Health Partners, Inc
- Adventist Health Partners, Inc
All providers in Bolingbrook, IL · Hospitalist 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 Jul 22, 2008. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.