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Organization Active NPI

Adventist Midwest Health

Doing business as Hinsdale Hospital Pediatric Services

  • Pediatrics Physician
  • Hinsdale, IL
National Provider Identifier
1578746178
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ADVENTIST MIDWEST HEALTH
Doing business as
Hinsdale Hospital Pediatric Services
Practice address
120 N Oak St
Hinsdale, IL 60521-3829
Phone
(630) 856-3339
NPI assigned
Dec 6, 2007
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Mrs. Ruby Mann
Title
Director of Managed Care
Phone
(630) 856-6884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

120 N Oak St
Hinsdale, IL 60521-3829

Mailing address

120 N Oak St
Hinsdale, IL 60521-3829
Phone (630) 856-3339

Other identifiers 1

IdentifierTypeStateIssuer
821050OtherILGROUP PTAN

Other names 1

  • HINSDALE HOSPITAL PEDIATRIC SERVICES Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040126000676 IL Part B Supplier - Clinic/Group Practice 4486556727 Receives reassigned benefits from 41 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hinsdale, IL

Other NPIs on the same Medicare enrollment 6

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

National Provider Directory

National Provider Directory

Locations

420 Medical Center Dr
Ste 230
Bolingbrook, IL 60440
Phone (630) 226-8000

500 Remington Blvd
Fl 4
Bolingbrook, IL 60440
Phone (630) 856-6741

5141 S Cicero Ave
Ste A
Chicago, IL 60632
Phone (630) 856-8682

6084 S Archer Ave
Chicago, IL 60638
Phone (708) 442-0221

6084 S Archer Ave
Ste 150
Chicago, IL 60638
Phone (630) 856-6475

1026 Ogden Ave
Downers Grove, IL 60515
Phone (630) 856-6425

301 S State Route 83
Elmhurst, IL 60126
Phone (630) 856-6475

119 E Ogden Ave
Ste 111
Hinsdale, IL 60521
Phone (630) 856-6990

12 Salt Creek Ln
Ste 325
Hinsdale, IL 60521
Phone (630) 856-6425

121 N Elm St
Ste 134
Hinsdale, IL 60521
Phone (630) 856-6455

908 N Elm St
Ste 116
Hinsdale, IL 60521

911 N Elm St
Ste 404
Hinsdale, IL 60521
Phone (630) 856-4800

5101 Willow Springs Rd
Bldg 4
La Grange, IL 60525

5101 Willow Springs Rd
Ste 200
La Grange, IL 60525

6311 S Cass Ave
Westmont, IL 60559
Phone (630) 323-5214

740 Pasquinelli Dr
Westmont, IL 60559
Phone (630) 856-7707

545 Plainfield Rd
Ste E
Willowbrook, IL 60527
Phone (630) 269-2886

Practitioners & affiliated clinicians

Practitioners 53

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 53

NPI Registry JSON

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1578746178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N OAK ST",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213829",
            "telephone_number": "630-856-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N OAK ST",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213829",
            "telephone_number": "630-856-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTIST MIDWEST HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "RUBY",
        "authorized_official_title_or_position": "DIRECTOR OF MANAGED CARE",
        "authorized_official_telephone_number": "630-856-6884",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "821050",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HINSDALE HOSPITAL PEDIATRIC SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hinsdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.

Verify at the official NPI Registry.