Adventist Health Partners, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ADVENTIST HEALTH PARTNERS, INC

Doing business as

D.O.C. Family Practice

Practice address

6723 Roosevelt Rd
Berwyn, IL 60402-1007

Phone

(708) 383-6346

Fax

(708) 383-6346

NPI assigned

Oct 25, 2012

Last updated

Jun 12, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Ruby Mann

Title

Director

Phone

(630) 856-6884

Specialties & licenses 1

Addresses

Other names 1

• D.O.C. Family Practice Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

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.

• Darlene P Peters

  • Family Nurse Practitioner
  • Plainfield, IL
  • NPI 1700031804
  NPD
• Asad Rafiq, MD

  • Gastroenterology Physician
  • Carol Stream, IL
  • NPI 1295879666
  NPD

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

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497225600000",
    "number": "1659624849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6723 ROOSEVELT RD",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604021007",
            "telephone_number": "708-383-6346",
            "fax_number": "708-383-6346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6723 ROOSEVELT RD",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604021007",
            "telephone_number": "708-383-6346",
            "fax_number": "708-383-6346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTIST HEALTH PARTNERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-25",
        "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",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D.O.C. Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandra L Adan
• Addus Healthcare Inc (Addus HomeCare)
• Adelante Community Health Center
• Advanced Liver and Gastrointestinal Disease Center LLC
• Advanced Wound Consultants, Inc.
• Gholamali Afshang, MD
• Vivian I Agosto
• Carmina Aguilar, PTA
• Haidee Guadalupe Aguilar
• Mario Aguilar, DT DEVELOPMENT THERA

• Family Medicine Physician in Berwyn, IL
• Providers in Berwyn, IL by specialty
• Family Medicine Physician in Illinois

• 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.

Verify at the official NPI Registry.