Active NPI
Adventist Health Partners, Inc
Doing business as West Suburban Pediatric Endocrinology
- Pediatric Endocrinology Physician
- Hinsdale, IL
National Provider Identifier
1760768121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Endocrinology Physician
- Legal business name
- ADVENTIST HEALTH PARTNERS, INC
- Doing business as
- West Suburban Pediatric Endocrinology
- Practice address
- 12 Salt Creek LN
Ste 106
Hinsdale, IL 60521-8605 - Phone
- (630) 981-0032
- Fax
- (630) 241-0884
- NPI assigned
- Oct 31, 2011
- Last updated
- Oct 31, 2011
- 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 |
|---|---|---|---|---|
| Pediatric Endocrinology Physician | 2080P0205X | NU | Primary |
Addresses
Primary practice location
12 Salt Creek LN
Ste 106
Hinsdale, IL 60521-8605
Mailing address
12 Salt Creek LN
Ste 106
Hinsdale, IL 60521-8605
Phone (630) 981-0032
Other names 1
- West Suburban Pediatric Endocrinology
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 DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320019200000",
"number": "1760768121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 SALT CREEK LN",
"address_2": "STE 106",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605218605",
"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": "12 SALT CREEK LN",
"address_2": "STE 106",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605218605",
"telephone_number": "630-981-0032",
"fax_number": "630-241-0884"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVENTIST HEALTH PARTNERS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-31",
"last_updated": "2011-10-31",
"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": "2080P0205X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Endocrinology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "West Suburban Pediatric Endocrinology",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Hinsdale, IL
- Adventist Health Partners, Inc (Advanced Renal Care)
- Adventist Health Partners, Inc (Adventist Arthritis Center)
- Adventist Health Partners, Inc (Hinsdale Obstetrics and Gynecology)
- Adventist Health Partners, Inc (Vascular and Interventional Radiology)
- Adventist Health Partners, Inc (York ENT Surgical Consultants)
- Adventist Health Partners, Inc (Ear Institute of Chicago)
- Adventist Health Partners, Inc (Hinsdale Hospital House Physicians)
- Adventist Health Partners, Inc (AdventHealth Medical Group Heart & Vascular)
- Adventist Health Partners, Inc (AHP Diabetic Education Program)
- Adventist Health Partners, Inc (Hinsdale Primary Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.