Organization Active NPI

Advocate Good Samaritan

  • General Acute Care Hospital
  • Downers Grove, IL
National Provider Identifier
1942750831
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
209014878 Issued in IL
Legal business name
ADVOCATE GOOD SAMARITAN
Practice address
4427 Woodward Ave
Downers Grove, IL 60515
Phone
(630) 881-6437
NPI assigned
Oct 4, 2016
Last updated
Oct 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2016

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

Authorized official

Name
Hannah Abigail Kloppmann, AGACNP
Title
Critical Care Nurse Practitioner
Phone
(630) 881-6437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 209014878 IL Primary

Addresses

Primary practice location

4427 Woodward Ave
Downers Grove, IL 60515

Mailing address

4427 Woodward Ave
Downers Grove, IL 60515
Phone (630) 881-6437

National Provider Directory

National Provider Directory
Tax ID family
Advocate Good Samaritan4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475539200000",
    "number": "1942750831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4427 WOODWARD AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "60515",
            "telephone_number": "630-881-6437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4427 WOODWARD AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "60515",
            "telephone_number": "630-881-6437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVOCATE GOOD SAMARITAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-04",
        "last_updated": "2016-10-04",
        "status": "A",
        "authorized_official_last_name": "KLOPPMANN",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_middle_name": "ABIGAIL",
        "authorized_official_title_or_position": "CRITICAL CARE NURSE PRACTITIONER",
        "authorized_official_telephone_number": "630-881-6437",
        "authorized_official_credential": "AGACNP"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": "209014878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; 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.