Adventist Health Partners, Inc

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

036093003 Issued in IL

Legal business name

ADVENTIST HEALTH PARTNERS, INC

Doing business as

West Suburban Ear Nose & Throat Center

Practice address

5207 Main St
Ste 5
Downers Grove, IL 60515-4652

Phone

(630) 981-0032

Fax

(630) 241-0884

NPI assigned

Jul 1, 2008

Last updated

Jun 14, 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 of Financial Services

Phone

(630) 856-6884

Specialties & licenses 1

Addresses

Other names 1

• WEST SUBURBAN EAR NOSE & THROAT CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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.

• Eileen M Mahoney, M.D.

  • Pediatric Otolaryngology Physician
  • Hinsdale, IL
  • NPI 1720012446
  NPD

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497398400000",
    "number": "1700048667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5207 MAIN ST",
            "address_2": "STE 5",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605154652",
            "telephone_number": "630-981-0032",
            "fax_number": "630-241-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5207 MAIN ST",
            "address_2": "STE 5",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605154652",
            "telephone_number": "630-981-0032",
            "fax_number": "630-241-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTIST HEALTH PARTNERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-01",
        "last_updated": "2017-06-14",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "RUBY",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCIAL SERVICES",
        "authorized_official_telephone_number": "630-856-6884",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "036093003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEST SUBURBAN EAR NOSE & THROAT CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristine Marie Adrowski, RDN, LDN
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• Adventist Health Partners, Inc (Adult Medicine Physicians of Downers Grove)
• Adventist Health Partners, Inc (Downtown Downers Family Medicine)
• Adventist Health Partners,Inc (Fairview Family Practice)
• Advocate Good Samaritan

• Otolaryngology Physician in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Otolaryngology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.