Adventist Health Partners, Inc
Organization Active NPI Family Medicine Physician · Wood Dale, IL
NPI 1962632877 · NPPES record last updated Feb 19, 2013
Key facts
- NPI
- 1962632877
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- ADVENTIST HEALTH PARTNERS, INC
- Practice address
- 199 S Addison Rd
Suite 108
Wood Dale, IL 60191-1929 - Phone
- (630) 616-7223
- Fax
- (630) 616-7224
- NPI assigned
- Jul 27, 2009
- Organization subpart
- No
Authorized official
- Name
- Mrs. Ruby Mann
- Title
- Director
- Phone
- (630) 856-6889
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| 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
Locations
199 S Addison Rd
Ste 108
Wood Dale, IL 60191
Phone (630) 616-7223
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
199 S Addison Rd
Suite 108
Wood Dale, IL 60191-1929
Mailing address
199 S Addison Rd
Ste 108
Wood Dale, IL 60191-1929
Phone (630) 616-7223
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 400480 | Other | IL | MEDICARE PTAN |
Other names
- WOOD DALE FAMILY MEDICINE
Other providers in Wood Dale, IL
- Nidaa S Aburmishan
- Accord Medical Labs of TX LLC
- Ace Health Center, LTD.
- Addison Physical Medicine and Rehabilitation Center LTD.
- Adventist Health Partners, Inc
- Robert S Ahlgren
- K. Basheer Ahmed
- Christine Alevritis
- Allie Divito-McCoy Therapeutic Services PLLC
- Alpha Medical Supply LLC
All providers in Wood Dale, IL · Family Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.