Active NPI
Adventist Health Partners, Inc.
Doing business as Diabetes and Endocrinology Center
- Endocrinology, Diabetes & Metabolism Physician
- Hinsdale, IL
National Provider Identifier
1487064804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- Legal business name
- ADVENTIST HEALTH PARTNERS, INC.
- Doing business as
- Diabetes and Endocrinology Center
- Practice address
- 911 N Elm St
Ste 115
Hinsdale, IL 60521-3634 - Phone
- (630) 861-6655
- NPI assigned
- May 7, 2014
- Last updated
- Jun 12, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ruby Mann
- Title
- Director
- Phone
- (630) 856-6884
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | Primary |
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 1
- Diabetes and Endocrinology Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| 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
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Family Medicine Physician
- Westchester, IL
- NPI 1992756068
-
- Family Medicine Physician
- Clarendon Hills, IL
- NPI 1073968418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1497225600000",
"number": "1487064804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 N ELM ST",
"address_2": "STE 115",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605213634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 N ELM ST",
"address_2": "STE 115",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605213634",
"telephone_number": "630-861-6655"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVENTIST HEALTH PARTNERS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-07",
"last_updated": "2017-06-12",
"status": "A",
"authorized_official_last_name": "MANN",
"authorized_official_first_name": "RUBY",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "630-856-6884"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Diabetes and Endocrinology Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hinsdale, IL
- Adventist Health Partners, Inc. (Adventist Maternal Fetal Medicine)
- Adventist Health Partners, Inc. (OMG Women's Healthcare)
- Adventist Health Partners, Inc. (AMITA Health Medical Group Breast Surgery)
- Adventist Health Partners, Inc. (AMITA Health Medical Group Immediate Care)
- Adventist Health Partners, Inc. (Adventist Diabetic Education Services)
- Adventist Health Partners,Inc (Family Practice Associates)
- Adventist Hinsdale Hospital (AHH IR Neuroscience)
- Adventist Hinsdale Hospital
- Adventist Midwest Health (UChicago Medicine AdventHealth Pharmacy Hinsdale)
- Adventist Midwest Health (Adventhealth Hinsdale)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.