NPIMap

Organization Active NPI

Adventist Midwest Health

Doing business as Adventhealth Hinsdale

  • Cardiovascular Disease Physician
  • Hinsdale, IL
National Provider Identifier
1962570382
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
ADVENTIST MIDWEST HEALTH
Doing business as
Adventhealth Hinsdale
Hinsdale Hospital Cardiology
Uchicago Medicine Adventhealth Hinsdale
Practice address
120 N Oak St
Hinsdale, IL 60521-3829
Phone
(630) 856-3650
NPI assigned
Dec 1, 2006
Last updated
Feb 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Authorized official

Name
Cully Chapman
Title
Chief Financial Officer
Phone
(630) 856-6001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU Primary

Addresses

Primary practice location

120 N Oak St
Hinsdale, IL 60521-3829

Mailing address

1000 Remington Blvd Ste 200
Bolingbrook, IL 60440-5125

Other identifiers 1

IdentifierTypeStateIssuer
CC5403OtherILRAILROAD MEDICARE PTAN

Other names 3

  • ADVENTHEALTH HINSDALE Doing business as
  • HINSDALE HOSPITAL CARDIOLOGY Doing business as
  • UCHICAGO MEDICINE ADVENTHEALTH HINSDALE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040126000676 IL Part B Supplier - Clinic/Group Practice 4486556727 Receives reassigned benefits from 41 practitioners
6 other NPIs on this enrollment
Practice locations: Hinsdale, IL

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Hinesdale Hospital13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

135 N Oak St
Hinsdale, IL 60521
Phone (630) 856-8900

Ownership & related parties

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Uchicago Medicine Adventhealth BolingbrookBolingbrook, IL, CCN 140304 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2015
Uchicago Medicine Adventhealth BolingbrookBolingbrook, IL, CCN 14S304 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2015
Uchicago Medicine Adventhealth GlenoaksGlendale Heights, IL, CCN 140292 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2015
Uchicago Medicine Adventhealth HinsdaleHinsdale, IL, CCN 14S122 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Feb 1, 2015
Feb 1, 2015
Uchicago Medicine Adventhealth HinsdaleHinsdale, IL, CCN 140122 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Feb 1, 2015
Feb 1, 2015
Uchicago Medicine Adventhealth Home CareLa Grange, IL, CCN 147207 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Feb 1, 2015
Feb 1, 2015
Adventist St Thomas HospiceHinsdale, IL, CCN 141507 Hospice 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Feb 1, 2015
Feb 1, 2015

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 43

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.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1962570382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 REMINGTON BLVD STE 200",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604405125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N OAK ST",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213829",
            "telephone_number": "630-856-3650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTIST MIDWEST HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "CHAPMAN",
        "authorized_official_first_name": "CULLY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "630-856-6001"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "CC5403",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVENTHEALTH HINSDALE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HINSDALE HOSPITAL CARDIOLOGY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HINSDALE HOSPITAL CARDIOLOGY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UCHICAGO MEDICINE ADVENTHEALTH HINSDALE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hinsdale, IL

Sources for this page

Verify at the official NPI Registry.