ADVENTIST BOLINGBROOK HOSPITAL (NPI# 1013372440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013372440 |
| Entity Type | Organization |
| Organization Name | ADVENTIST BOLINGBROOK HOSPITAL |
| Practice Address |
500 Remington Blvd Bolingbrook IL 60440-4906 |
| Mailing Address |
Po Box 7009 Bolingbrook IL 60440-7009 |
| Practice Telephone | 6303125000 |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2016-11-22 |
| Authorized Official Name | LISA NEUMAN (VICE PRESIDENT, BUDGET/DECISION) |
| Authorized Official Telephone | 8475902555 |
| Is Organization Subpart | Y |
| Parent Organization Name | ADVENTIST BOLINGBROOK HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 5496 | IL | Hospital Units |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770998262 | Adventist Bolingbrook Hospital | Internal Medicine | 420 S Schmidt, Ste 230, Bolingbrook, IL 60440 | 2014-06-24 |
| 1386015642 | Adventist Bolingbrook Hospital | Orthopaedic Surgery | 500 Remington Blvd, Bolingbrook, IL 60440-4906 | 2015-10-13 |
| 1184923260 | Adventist Bolingbrook Hospital | Pharmacy | 500 Remington Blvd, Bolingbrook, IL 60440-4906 | 2011-03-15 |
| 1477790160 | Adventist Bolingbrook Hospital | Internal Medicine | 500 Remington Blvd, Bolingbrook, IL 60440-4906 | 2009-01-16 |
| 1164530465 | Adventist Bolingbrook Hospital | General Acute Care Hospital | 500 Remington Blvd, Bolingbrook, IL 60440-4906 | 2006-08-27 |
| Street Address |
500 REMINGTON BLVD |
| City | BOLINGBROOK |
| State | IL |
| Zip Code | 60440-4906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225087489 | Joyal Pape | Specialist | 500 Remington Blvd, Bolingbrook, IL 60440-4906 | 2006-05-08 |
| 1245849868 | Christina Yuen | Physical Therapist | 500 Remington Blvd, Bolingbrook, IL 60440-4906 | 2020-07-29 |
| 1194285213 | Ceres Kangou | Nurse Practitioner | 500 Remington Blvd, Bolingbrook, IL 60440-4906 | 2019-03-24 |
| 1386015642 | Adventist Bolingbrook Hospital | Orthopaedic Surgery | 500 Remington Blvd, Bolingbrook, IL 60440-4906 | 2015-10-13 |
| 1003150962 | Illinois Emergency Medicine Specialists, LLC | Emergency Medicine | 500 Remington Blvd, Bolingbrook, IL 60440-4906 | 2012-11-16 |
| 1285917641 | Sona Yogesh Aquiline | Registered Nurse | 500 Remington Blvd, Bolingbrook, IL 60440-4906 | 2011-09-22 |
| 1336436203 | Anas Elshafei | Internal Medicine | 500 Remington Blvd, Bolingbrook, IL 60440-4906 | 2011-06-29 |
| 1205120706 | Adventist Bolingrook Hospital | Pharmacy | 500 Remington Blvd, Bolingbrook, IL 60440-4906 | 2011-06-02 |
| 1184923260 | Adventist Bolingbrook Hospital | Pharmacy | 500 Remington Blvd, Bolingbrook, IL 60440-4906 | 2011-03-15 |
| 1275836272 | Sonal Desai Choudhary | Dietitian, Registered | 500 Remington Blvd, Bolingbrook, IL 60440-4906 | 2010-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275141251 | Derick Dermatology, LLC | Dermatology | 239 Remington Boulevard, Suite 225, Bolingbrook, IL 60440 | 2020-07-16 |
| 1851949150 | Rachel Nicole Weis | Student in an Organized Health Care Education/Training Program | 777 Falconridge Way, Bolingbrook, IL 60440 | 2019-08-29 |
| 1578072815 | Onna Ford-kendrick | Nurse Practitioner | 151 E. Briarcliff Rd, -, Bolingbrook, IL 60440 | 2017-09-28 |
| 1891245213 | Megan Lotarski | Specialist/Technologist | 6 Copper Ct, Bolingbrook, IL 60440 | 2016-10-10 |
| 1144775800 | Mitchell Quill | Chiropractor | 550 E Boughton Rd Ste 150, Bolingbrook, IL 60440 | 2016-08-23 |
| 1477914125 | Alessia L. Elerby | Specialist | 128 S Cass Ave, Westmont, IL 60440 | 2016-03-09 |
| 1982073821 | Melissa Perkins | Counselor | 511 Preston Drive, Bolingbrook, IL 60440 | 2015-09-22 |
| 1821467754 | Advanced Patient Care, LLC. | Pharmacy | 335-337 Remington Blvd., Bolingbrook, IL 60440 | 2015-09-22 |
| 1770998262 | Adventist Bolingbrook Hospital | Internal Medicine | 420 S Schmidt, Ste 230, Bolingbrook, IL 60440 | 2014-06-24 |
| 1467864512 | Alice II Salons | Specialist | 311 Quadr,., Bolingbrook, IL 60440 | 2014-05-23 |
| Find all providers in zip 60440 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639657414 | Advocate North Side Health Network | Psychiatric Unit | 836 W Wellington Ave., Chicago, IL 60657 | 2018-08-02 |
| 1427547538 | Holy Cross Hospital | Psychiatric Unit | 2701 West 68th Street, Chicago, IL 60629 | 2018-05-03 |
| 1740570316 | Robert Young Center | Psychiatric Unit | 4200 6th Ave, Rock Island, IL 61201-2109 | 2011-04-15 |
| 1669704326 | Isaac Ray Center At Cermak | Psychiatric Unit | 3159 N Seminary #301, Chicago, IL 60657 | 2010-02-05 |
| 1316115223 | 394567 D North | Psychiatric Unit | 4200 North Oak Park Ave, Chicago, IL 60634-1417 | 2008-02-13 |
| 1508034414 | 395061 Med Eval | Psychiatric Unit | 4200 North Oak Park Avenue, Chicago, IL 60634-1417 | 2008-02-13 |
| 1952425076 | Elgin Mental Health Center William White 4585 | Psychiatric Unit | 750 S. State St., Elgin, IL 60123-7692 | 2007-03-16 |
| 1932251766 | Families and Adolescents In Recovery, Inc. | Psychiatric Unit | 2010 E Algonquin Rd, Suite # 203-207, Schaumburg, IL 60173-4185 | 2007-01-18 |
| 1003976713 | Presence Central and Suburban Hospitals Network | Psychiatric Unit | 333 N. Madison St., Joliet, IL 60435-6595 | 2006-12-11 |
| 1871678334 | Kindred Thc Chicago, LLC | Psychiatric Unit | 2544 W Montrose Ave, Chicago, IL 60618 | 2006-10-25 |
| Find all providers with the same taxonomy | ||||
| City | BOLINGBROOK |
| Zip Code | 60440 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.