Adventist Health Partners, Inc.
Organization Active NPI Endocrinology, Diabetes & Metabolism Physician · Hinsdale, IL
NPI 1487064804 · NPPES record last updated Jun 12, 2017
Key facts
- NPI
- 1487064804
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician 207RE0101X
- Legal business name
- ADVENTIST HEALTH PARTNERS, INC.
- Practice address
- 911 N Elm St
Ste 115
Hinsdale, IL 60521-3634 - Phone
- (630) 861-6655
- NPI assigned
- May 7, 2014
- Organization subpart
- No
Authorized official
- Name
- Ruby Mann
- Title
- Director
- Phone
- (630) 856-6884
Practitioners 2
-
Erin Vaughan, MD
-
Kerry Woss, D.O.
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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician |
207RE0101X | Yes |
Addresses
Primary practice location
911 N Elm St
Ste 115
Hinsdale, IL 60521-3634
Mailing address
911 N Elm St
Ste 115
Hinsdale, IL 60521-3634
Other names
- Diabetes and Endocrinology Center
Other providers in Hinsdale, 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 Hinsdale Hospital
- Adventist Hinsdale Hospital
- Adventist Midwest Health
- Adventist Midwest Health
All providers in Hinsdale, IL · Endocrinology, Diabetes & Metabolism 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 Jun 12, 2017. 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.