Adventist Health Partners,Inc

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

ADVENTIST HEALTH PARTNERS,INC

Doing business as

Adventist Midwest Geratrics Specialists

Practice address

701 Winthrop Ave
Glendale Heights, IL 60139-1405

Phone

(708) 245-4073

Fax

(708) 245-5614

NPI assigned

Jun 20, 2006

Last updated

Jan 8, 2008By 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 of Managed Care

Phone

63085668844

Specialties & licenses 1

Addresses

Other names 1

• ADVENTIST MIDWEST GERATRICS SPECIALISTS Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 4

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.

• Sameer A. Barkatullah, M.D.

  • Gastroenterology Physician
  • Bolingbrook, IL
  • NPI 1245426980
  NPD
• Michael Brooks, DO

  • Family Medicine Physician
  • Clarendon Hills, IL
  • NPI 1801844311
  NPD
• Rose Ann Wan, NP

  • Family Nurse Practitioner
  • Carol Stream, IL
  • NPI 1861913980
  NPD
• Carla Lynn Zavala, APN

  • Acute Care Nurse Practitioner
  • New Lenox, IL
  • NPI 1700221892
  NPD

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1679518765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7009",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604407009",
            "telephone_number": "630-312-7865",
            "fax_number": "630-312-7902"
        },
        {
            "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": "708-245-4073",
            "fax_number": "708-245-5614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTIST HEALTH PARTNERS,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2008-01-08",
        "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": "63085668844",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVENTIST MIDWEST GERATRICS SPECIALISTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adventist Health Partners, Inc (AMITA Health Medical Group General Surgery)
• Adventist Health Partners, Inc (Glenoaks Anesthesia)
• Affinity Medical Supplies, LLC
• Nicole Ann Alberto, PT, DPT, MPH
• Sybil Mathai Alex, CCC-SLP
• Alfa Home Healthcare LLC
• Samina Ali, M.D.

• Geriatric Medicine (Internal Medicine) Physician in Glendale Heights, IL
• Providers in Glendale Heights, IL by specialty
• Geriatric Medicine (Internal Medicine) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; 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.