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Organization Active NPI

Adventist Glenoaks Hospital

Doing business as Adventhealth Glenoaks

  • Psychiatric Hospital Unit
  • Glendale Heights, IL
National Provider Identifier
1477572949
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
0003814 Issued in IL
Legal business name
ADVENTIST GLENOAKS HOSPITAL
Doing business as
Adventhealth Glenoaks
Uchicago Medicine Adventhealth Glenoaks
Practice address
701 Winthrop Ave
Glendale Heights, IL 60139-1405
Phone
(630) 545-8000
Fax
(630) 312-7975
NPI assigned
Jul 18, 2006
Last updated
Feb 18, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
ADVENTIST GLENOAKS HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

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

Specialties & licenses 1

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

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 2

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

Electronic endpoints 2

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1477572949. Details of each certification follow.

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
CorporationNon-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

Other NPIs with the same Medicare PAC ID 2

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

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Uchicago Medicine Adventhealth GlenoaksCCN 140292 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Part of
Monica Wincher DO

Member of 2

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

Locations

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

1505 Jill Ct
Glendale Hts, IL 60139
Phone (312) 858-9700

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

Ownership & related parties

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 EmployeeCeo Jun 15, 2025
Corporate OfficerCeo Jun 15, 2025
Operational/Managerial ControlCeo Jun 15, 2025
Susan Dixon Individual Corporate DirectorDirector Jan 1, 2021
Vafa Shayani Individual Corporate DirectorDirector Jan 1, 2024
Sandra R Valaitis Individual Corporate DirectorDirector Jan 1, 2023
Elden Ramirez Individual Corporate DirectorDirector Jan 1, 2022
Jeffrey Graff Individual Corporate OfficerAssistant Secretary Sep 11, 2014
Glynn Scott Individual Corporate DirectorDirector Aug 18, 2005
Brent G Snyder Individual Corporate DirectorDirector Aug 18, 2005
Zachary Dye Individual Contracted Managing EmployeeCfo Jan 13, 2025
Corporate OfficerCfo Jan 13, 2025
Operational/Managerial ControlCfo Jan 13, 2025
Karsten Randolph Individual Corporate OfficerAssistant Secretary Jan 1, 2023
Andrew D Jahn Individual Corporate OfficerChairperson/Director Apr 1, 2024
Corporate DirectorChairperson/Director Apr 1, 2024
Peter Oconnor Individual Corporate DirectorDirector Dec 9, 2010
Aytek Oto Individual Corporate DirectorDirector Jan 1, 2023
Linda Eastman Individual Corporate DirectorDirector Jan 1, 2014
Michael Saunders Individual Corporate OfficerAssistant 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 OfficerAssistant Secretary Sep 11, 2014
Timothy Pursley Individual Corporate DirectorDirector Jun 6, 2024
Venanzio Arquilla Individual Corporate DirectorDirector 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 EmployeeRegional Cfo/Treasure Jan 14, 2024
Corporate OfficerRegional Cfo/Treasure Jan 14, 2024
Operational/Managerial ControlRegional Cfo/Treasure Jan 14, 2024
Cherese Chery Individual Corporate OfficerSecretary Jan 1, 2023
Monica Reed Individual Corporate OfficerBoard Secretary/President Feb 19, 2024
Corporate DirectorBoard Secretary/President Feb 19, 2024
Tom Jackiewicz Individual Corporate OfficerChairperson Jan 1, 2023
Corporate DirectorDirector Jan 1, 2023
Haney Vincent Individual Corporate OfficerAssistant Secretary Jan 1, 2023
John Grys Individual Corporate DirectorDirector Jan 1, 2023
Amy Ross Individual Corporate DirectorDirector 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 OfficerAssistant Secretary Sep 11, 2014
Jonathan Wright Individual Corporate DirectorDirector Dec 1, 2007
Sanjay K Patari Individual Corporate DirectorDirector Jan 1, 2023
Lynn Addiscott Individual Corporate OfficerAssistant Secretary Aug 18, 2005
Paul D Ryan Individual Corporate DirectorDirector Jan 1, 2024
Ivan Samstein Individual Corporate DirectorDirector Jan 1, 2023
Kenneth Denslow Individual Corporate OfficerVice Chairperson/Director Jun 10, 2021
Corporate DirectorVice Chairperson/Director Jun 10, 2021
Ron Hawkins Individual Corporate DirectorDirector Feb 24, 2011
Maninder Kohli Individual Corporate DirectorDirector Jan 1, 2022
William Holder Individual Corporate DirectorDirector 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%

Owners & managing parties with NPI records 16

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

View all 16

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

Affiliated clinicians 237

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

View all 237

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1477572949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 WINTHROP AVE",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601391405",
            "telephone_number": "630-545-8000",
            "fax_number": "630-312-7975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 WINTHROP AVE",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601391405",
            "telephone_number": "630-545-8000",
            "fax_number": "630-312-7975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTIST GLENOAKS HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVENTIST GLENOAKS HOSPITAL",
        "enumeration_date": "2006-07-18",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "DYE",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "630-545-3901"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "IL",
            "license": "0003814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.mettles.com/",
            "affiliation": "N",
            "endpointDescription": "2.16.840.1.113883.3.6037.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "10320 Little Patuxent Pkwy Ste 233-02",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210443313",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "CMS HIH",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "7500 Security Blvd",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212441849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ADVENTHEALTH GLENOAKS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ADVENTHEALTH GLENOAKS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UCHICAGO MEDICINE ADVENTHEALTH GLENOAKS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale Heights, IL

Sources for this page

Verify at the official NPI Registry.