Adventist Health Partners, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ADVENTIST HEALTH PARTNERS, INC

Doing business as

AHP Diabetic Education Program

Practice address

12 Salt Creek LN
Suite 106
Hinsdale, IL 60521-8605

Phone

(630) 856-2731

Fax

(630) 323-0260

NPI assigned

Sep 9, 2013

Last updated

Sep 9, 2013By 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

Ruby Mann

Title

Directore

Phone

(630) 856-6884

Specialties & licenses 1

Addresses

Other names 1

• AHP Diabetic Education Program Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

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

{
    "created_epoch": "1378684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378684800000",
    "number": "1922433051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 SALT CREEK LN",
            "address_2": "SUITE 106",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605218605",
            "telephone_number": "630-856-2731",
            "fax_number": "630-323-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 SALT CREEK LN",
            "address_2": "SUITE 106",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605218605",
            "telephone_number": "630-856-2731",
            "fax_number": "630-323-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTIST HEALTH PARTNERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-09",
        "last_updated": "2013-09-09",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "RUBY",
        "authorized_official_title_or_position": "DIRECTORE",
        "authorized_official_telephone_number": "630-856-6884"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AHP Diabetic Education Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adventist Health Partners, Inc (York ENT Surgical Consultants)
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• 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 (Hinsdale Primary Care)
• Adventist Health Partners, Inc. (Adventist Maternal Fetal Medicine)
• Adventist Health Partners, Inc. (OMG Women's Healthcare)
• Adventist Health Partners, Inc. (AMITA Health Medical Group Breast Surgery)
• Adventist Health Partners, Inc. (AMITA Health Medical Group Immediate Care)

• Family Medicine Physician in Hinsdale, IL
• Providers in Hinsdale, 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 Sep 9, 2013; 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.