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
-
Maninder S. Kohli, M.D.
-
Paul D. Ryan, M.D.
-
Vafa Shayani, MD
-
Timothy Jay Pursley, M.D.
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 2
Member of 2
Practitioners 20
-
Aziz Ahmed, M.D.
-
Asif Serajian, DO
-
Vijay Kumar, MD
-
Solomon J Sager, M.D.
-
Mir Akif Ali, M.D.
-
Nausheen Hasan, M.D.
-
Abigail R Johnson, PT, DPT
-
Michael Korpics, MD
-
Glenn Meade, MD
-
Daniel Francis O'Reilly, M.D.
-
Biswamay Ray, M.D.
-
Elizabeth Viveros, DPT
-
Jeffrey A. Whitis, PTA
Affiliated clinicians 237
-
Keenan Adib, MD
-
Aziz Ahmed, M.D.
-
Iram Aleem Ahmed, MD
-
Nooruzsabha Seema Ahmed, M.D.
-
Wahaj Ahmed, M.D.
-
Nazia Alvi, D.O.
-
Beejal Yashwant Amin, M.D.
-
Lazaro Anguiano Munoz, FNP-C
-
Jabeen Sultana Aqueel, M.D.
-
Erum Arain, M.D.
-
Imtiaz Arain, MD
-
Susmita Ayyagari, MD
-
Rizwan S Bajwa, DO
-
Kimberley Renee Baumhart, FNP-BC
-
David George Bawden, M.D.
-
Eliza F Bernas, MD
-
Percival A Bigol, MD
-
Mary Bizios, DO
-
Judi Ellen Blake, PA-C
-
Jessica M Blank, ACNPC-AG
-
Christopher Boniquit, M.D.
-
Eleni P. Bourtsos, M.D.
Medicare Care Compare: Hospital
- Listed as
- Uchicago Medicine Adventhealth Glenoaks
- Overall star rating
- ★★★☆☆ 3 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Other
- Medicare certification status
- Active
- Emergency services
- Yes
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 - Hospital subgroups
- General, Acute care, Psychiatric
All disclosed owners & managing parties 39
| Name | Role | Since | Share |
|---|---|---|---|
| Seleem Choudhury |
Contracted Managing Employee |
Jun 15, 2025 | |
| Corporate Officer |
Jun 15, 2025 | ||
| Operational/Managerial Control |
Jun 15, 2025 | ||
| Susan Dixon |
Corporate Director |
Jan 1, 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 | |
| Brent G Snyder |
Corporate Director |
Aug 18, 2005 | |
| Zachary Dye |
Contracted Managing Employee |
Jan 13, 2025 | |
| Corporate Officer |
Jan 13, 2025 | ||
| Operational/Managerial Control |
Jan 13, 2025 | ||
| Karsten Randolph |
Corporate Officer |
Jan 1, 2023 | |
| Andrew D Jahn |
Corporate Officer |
Apr 1, 2024 | |
| Corporate Director |
Apr 1, 2024 | ||
| Peter Oconnor |
Corporate Director |
Dec 9, 2010 | |
| Aytek Oto |
Corporate Director |
Jan 1, 2023 | |
| Linda Eastman |
Corporate Director |
Jan 1, 2014 | |
| Michael Saunders |
Corporate Officer |
Feb 27, 2007 | |
| Adventist Midwest Health |
5% Or Greater Direct Ownership Interest | Feb 1, 2015 | 100% |
| 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 | |
| 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 |
Jan 1, 2023 | |
| 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% |
| 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 | |
| Kenneth Denslow |
Corporate Officer |
Jun 10, 2021 | |
| Corporate Director |
Jun 10, 2021 | ||
| Ron Hawkins |
Corporate Director |
Feb 24, 2011 | |
| Maninder Kohli |
Corporate Director |
Jan 1, 2022 | |
| William Holder |
Corporate Director |
Jun 19, 2016 | |
| Adventist Health System Sunbelt Inc |
5% Or Greater Indirect Ownership Interest | Jan 1, 2023 | 49% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- UCHICAGO MEDICINE ADVENTHEALTH GLENOAKS
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
- A1 Home Medical Supplies, Inc.
- Acute Care Specialists II, LTD
- Advance Medical Lab
- Adventist Glenoaks Hospital
- Adventist Glenoaks Hospital
- Adventist Glenoaks Hospital
- Adventist Glenoaks Hospital
- Adventist Glenoaks Hospital
- Adventist Health Partners, Inc
- Adventist Health Partners, Inc
All providers in Glendale Heights, IL · Psychiatric Hospital Unit 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 18, 2025. 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.