Bromenn Physicians Management Corporation

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

BROMENN PHYSICIANS MANAGEMENT CORPORATION

Doing business as

Advocate Medical Group IHLA

Practice address

1302 Franklin Ave
Suite 4500
Normal, IL 61761-3551

Phone

(309) 828-1166

Fax

(309) 862-0330

NPI assigned

Dec 29, 2011

Last updated

Dec 29, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

ADVOCATE HEALTH AND HOSPITALS CORPORATIONAs reported in NPPES

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

Authorized official

Name

Ian Stewart

Title

VP Bus Sys, Finance, Ops

Phone

(847) 390-5453

Specialties & licenses 4

Addresses

Other names 1

• Advocate Medical Group IHLA Doing business as

Part of

Richton Park Radiology

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.

• Dory C Jarzabkowski, D.O.

  • Cardiovascular Disease Physician
  • Normal, IL
  • NPI 1083651939
  NPD

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1922377431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 LEE ST",
            "address_2": "SUITE 300",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600164539",
            "telephone_number": "847-390-5900",
            "fax_number": "847-390-5922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 FRANKLIN AVE",
            "address_2": "SUITE 4500",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617613551",
            "telephone_number": "309-828-1166",
            "fax_number": "309-862-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROMENN PHYSICIANS MANAGEMENT CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVOCATE HEALTH AND HOSPITALS CORPORATION",
        "enumeration_date": "2011-12-29",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "VP BUS SYS, FINANCE, OPS",
        "authorized_official_telephone_number": "847-390-5453"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advocate Medical Group IHLA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bromenn Healthcare Pharmacy
• Bromenn Healthcare, Inc.
• Bromenn Physician Management Corporation (Illinois Heart & Lung Associates)
• Bromenn Physicians Management Corporation (Advocate Medical Group Bromenn)
• Bromenn Physicians Management Corporation (BroMenn Medical Group)
• Bromenn Regional Medical Center
• Amy Louise Brooke, LCPC
• Adam Brown, FNP
• Jamie L Brown, PT, DPT
• Kaydee Brown

• Cardiovascular Disease Physician in Normal, IL
• Providers in Normal, IL by specialty
• Cardiovascular Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.