Adventist Glenoaks Hospital

Organization Active NPI Psychiatric Hospital Unit · Glendale Heights, IL

NPI 1477572949 · NPPES record last updated Feb 18, 2025

Key facts

NPI
1477572949
Entity type
Organization (NPI type 2)
Primary specialty
Psychiatric Hospital Unit 273R00000X
License
0003814 (IL)
Legal business name
ADVENTIST GLENOAKS HOSPITAL
Practice address
701 Winthrop Ave
Glendale Heights, IL 60139-1405
Phone
(630) 545-8000
Fax
(630) 312-7975
NPI assigned
Jul 18, 2006
Organization subpart
Yes
Parent organization (as reported)
ADVENTIST GLENOAKS HOSPITAL

Authorized official

Name
Zachary Dye
Title
Cfo
Phone
(630) 545-3901

Owners & managing parties with NPI records 16

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

Other NPIs on the same Medicare enrollment 1

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

Other NPIs with the same Medicare PAC ID 2

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

Member of 2

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

Practitioners 20

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

Affiliated clinicians 237

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

View all 237

Medicare Care Compare: Hospital

Listed as
Uchicago Medicine Adventhealth Glenoaks CCN 140292
Overall star rating
★★★☆☆ 3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in IL

Hospital certification: CCN 140292

Legal name
ADVENTIST GLENOAKS HOSPITAL
Doing business as
UCHICAGO MEDICINE ADVENTHEALTH GLENOAKS
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Apr 7, 1980
Last certification
Aug 11, 2023
Beds
186
Ownership / control type
Other
Organization structure
Corporation · Non-profit
Incorporated
Nov 18, 1982 in IL
Enrollment address
701 Winthrop Ave
Glendale Heights, IL 60139-1405
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Psychiatric

All disclosed owners & managing parties 39

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

NameRoleSinceShare
Seleem Choudhury
Individual
Contracted Managing Employee
Ceo
Jun 15, 2025
Corporate Officer
Ceo
Jun 15, 2025
Operational/Managerial Control
Ceo
Jun 15, 2025
Susan Dixon
Individual
Corporate Director
Director
Jan 1, 2021
Vafa Shayani
Individual
Corporate Director
Director
Jan 1, 2024
Sandra R Valaitis
Individual
Corporate Director
Director
Jan 1, 2023
Elden Ramirez
Individual
Corporate Director
Director
Jan 1, 2022
Jeffrey Graff
Individual
Corporate Officer
Assistant Secretary
Sep 11, 2014
Glynn Scott
Individual
Corporate Director
Director
Aug 18, 2005
Brent G Snyder
Individual
Corporate Director
Director
Aug 18, 2005
Zachary Dye
Individual
Contracted Managing Employee
Cfo
Jan 13, 2025
Corporate Officer
Cfo
Jan 13, 2025
Operational/Managerial Control
Cfo
Jan 13, 2025
Karsten Randolph
Individual
Corporate Officer
Assistant Secretary
Jan 1, 2023
Andrew D Jahn
Individual
Corporate Officer
Chairperson/Director
Apr 1, 2024
Corporate Director
Chairperson/Director
Apr 1, 2024
Peter Oconnor
Individual
Corporate Director
Director
Dec 9, 2010
Aytek Oto
Individual
Corporate Director
Director
Jan 1, 2023
Linda Eastman
Individual
Corporate Director
Director
Jan 1, 2014
Michael Saunders
Individual
Corporate Officer
Assistant Secretary
Feb 27, 2007
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%
Paul C Rathbun
Individual
Corporate Officer
Assistant Secretary
Sep 11, 2014
Timothy Pursley
Individual
Corporate Director
Director
Jun 6, 2024
Venanzio Arquilla
Individual
Corporate Director
Director
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 Employee
Regional Cfo/Treasure
Jan 14, 2024
Corporate Officer
Regional Cfo/Treasure
Jan 14, 2024
Operational/Managerial Control
Regional Cfo/Treasure
Jan 14, 2024
Cherese Chery
Individual
Corporate Officer
Secretary
Jan 1, 2023
Monica Reed
Individual
Corporate Officer
Board Secretary/President
Feb 19, 2024
Corporate Director
Board Secretary/President
Feb 19, 2024
Tom Jackiewicz
Individual
Corporate Officer
Chairperson
Jan 1, 2023
Corporate Director
Director
Jan 1, 2023
Haney Vincent
Individual
Corporate Officer
Assistant Secretary
Jan 1, 2023
John Grys
Individual
Corporate Director
Director
Jan 1, 2023
Amy Ross
Individual
Corporate Director
Director
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%
Robert C Foltz
Individual
Corporate Officer
Assistant Secretary
Sep 11, 2014
Jonathan Wright
Individual
Corporate Director
Director
Dec 1, 2007
Sanjay K Patari
Individual
Corporate Director
Director
Jan 1, 2023
Lynn Addiscott
Individual
Corporate Officer
Assistant Secretary
Aug 18, 2005
Paul D Ryan
Individual
Corporate Director
Director
Jan 1, 2024
Ivan Samstein
Individual
Corporate Director
Director
Jan 1, 2023
Kenneth Denslow
Individual
Corporate Officer
Vice Chairperson/Director
Jun 10, 2021
Corporate Director
Vice Chairperson/Director
Jun 10, 2021
Ron Hawkins
Individual
Corporate Director
Director
Feb 24, 2011
Maninder Kohli
Individual
Corporate Director
Director
Jan 1, 2022
William Holder
Individual
Corporate Director
Director
Jun 19, 2016
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%

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20181218001178 IL Part a Provider - Hospital 3173425931 Practice locations: Glendale Heights, IL
O20181218002099 IL Part a Provider - Hospital 3173425931 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wheaton, IL; Bloomingdale, IL; Glendale Heights, IL

National Provider Directory

Part of
RLT Neurological Servic

Locations

303 E Army Trail Rd
Ste 135
Bloomingdale, IL 60108
Phone (630) 849-0606

560 Belmont Ln
Carol Stream, IL 60188
Phone (630) 588-9789

1505 Jill Ct
Glendale Hts, IL 60139
Phone (630) 510-0700

1145 Butterfield Rd
Wheaton, IL 60189
Phone (630) 856-6465

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 0003814 IL Yes

Addresses

Primary practice location

701 Winthrop Ave
Glendale Heights, IL 60139-1405

Mailing address

701 Winthrop Ave
Glendale Heights, IL 60139-1405
Phone (630) 545-8000

Other names

  • ADVENTHEALTH GLENOAKS Doing business as
  • UCHICAGO MEDICINE ADVENTHEALTH GLENOAKS Doing business as

Electronic endpoints

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

Other providers in Glendale Heights, IL

All providers in Glendale Heights, IL · Psychiatric Hospital Unit in Illinois

Sources for this page

Verify at the official NPI Registry.