ADVENTIST MIDWEST GERIATRICS SPECIALISTS (NPI# 1063789360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063789360 |
| Entity Type | Organization |
| Organization Name | ADVENTIST MIDWEST GERIATRICS SPECIALISTS |
| Practice Address |
5101 Willow Springs Rd La Grange IL 60525-2600 |
| Practice Telephone | 7082454073 |
| Mailing Telephone | 7082454073 |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2011-11-30 |
| Authorized Official Name | MARIE ROSE CARCELLAR (NURSE PRACTITIONER) |
| Authorized Official Telephone | 7082454073 |
| Authorized Official Credential | APN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Street Address |
5101 WILLOW SPRINGS RD |
| City | LA GRANGE |
| State | IL |
| Zip Code | 60525-2600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508824111 | Peter Norvid | Internal Medicine | 5101 Willow Springs Rd, La Grange, IL 60525-2600 | 2006-05-03 |
| 1245795988 | Jw Pharmacy & Dme Inc | Pharmacy | 5101 Willow Springs Rd, La Grange, IL 60525 | 2019-02-06 |
| 1982183711 | Kimberly Allison Gregoriou | Nurse Practitioner | 5101 Willow Springs Rd, La Grange, IL 60525-2600 | 2018-08-13 |
| 1992224042 | Carly Jones | Physical Therapist | 5101 Willow Springs Rd, La Grange, IL 60525-2600 | 2017-09-10 |
| 1659827186 | Dipankar Mukhopadhyay | Pediatrics | 5101 Willow Springs Rd, Family Practice Residency, La Grange, IL 60525-2600 | 2016-08-25 |
| 1780055350 | Elizabeth Zawila | Dietitian, Registered | 5101 Willow Springs Rd, La Grange, IL 60525-2600 | 2015-10-08 |
| 1891176830 | Jodie Lynne Gaw | Family Medicine | 5101 Willow Springs Rd, 2nd Floor, La Grange, IL 60525-2600 | 2015-06-16 |
| 1588068274 | Adventist Midwest Health | Rehabilitation Unit | 5101 Willow Springs Rd, La Grange, IL 60525-2600 | 2014-10-09 |
| 1669888491 | Raju Kirtikumar Shah | Family Medicine | 5101 Willow Springs Rd, 2nd Floor, La Grange, IL 60525-2600 | 2014-07-01 |
| 1003221680 | Kevin Darnell Johnson | Student in an Organized Health Care Education/Training Program | 5101 Willow Springs Rd, 2nd Floor, La Grange, IL 60525-2600 | 2014-06-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063923837 | Cheryl Buhrke | Speech-Language Pathologist | 1301 W. Cossitt Ave., La Grange, IL 60525 | 2017-10-19 |
| 1881113462 | Karen Aluise | Speech-Language Pathologist | 6818 Joliet Rd. #2, Indian Head Park, IL 60525 | 2017-09-14 |
| 1689126997 | Adriana Digianfilippo | Occupational Therapist | 18 N. Catherine, Lagrange, IL 60525 | 2016-11-03 |
| 1679953582 | Paulina Pinzon | Counselor | 6548 Laurel Avenue, Indian Head Park, IL 60525 | 2015-06-05 |
| 1639446925 | Aarti Parikh | Pharmacist | 6600 S. Willow Springs Rd, Indian Head Park, IL 60525 | 2011-11-30 |
| 1831476795 | Jessica E Feller | Physician Assistant | 6555 South Willow Springs Road, Suite 6, Countryside, IL 60525 | 2011-11-07 |
| 1477833218 | Robyn Lee Frendling | Behavioral Analyst | 9649 W. 55th St, Countryside, IL 60525 | 2011-08-25 |
| 1457630543 | Kerri E Kabela | Physical Therapist | 705 W. Plainfield Rd, Suite 1, Countryside, IL 60525 | 2011-08-08 |
| 1275826984 | G&u Orthopedic, LLC | Durable Medical Equipment & Medical Supplies | 106 W. Calendar Ave., 127, La Grange, IL 60525 | 2011-05-27 |
| 1952609752 | Athletic and Therapeutic Institute of Naperville, LLC | Physical Therapist | 705 W. Plainfield Road, Suite 1, Countryside, IL 60525 | 2011-03-03 |
| Find all providers in zip 60525 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467426676 | Butterfield Health Care Vii, LLC | Skilled Nursing Facility | 339 9th Ave, La Grange, IL 60525-6429 | 2006-02-14 |
| 1568452365 | Monument Rehabilitation and Nursing Center, LLP | Skilled Nursing Facility | 120 State Loop 92, La Grange, TX 78945-6035 | 2005-10-24 |
| 1437516812 | Charmaine Leigh Ramos | Skilled Nursing Facility | 4735 Willow Springs Rd, La Grange, IL 60525-6130 | 2016-01-15 |
| 1326464843 | Richwoodidence Opco, LLC | Skilled Nursing Facility | 1012 Richwood Way, La Grange, KY 40031-8930 | 2014-03-07 |
| 1245679851 | Anna Marie Ramey | Skilled Nursing Facility | 4735 Willow Springs Rd, La Grange, IL 60525-6130 | 2013-06-17 |
| 1588785992 | Oakbend Medical Center | Skilled Nursing Facility | 457 N Main St, La Grange, TX 78945-1937 | 2007-04-03 |
| 1700841673 | Winnie-stowell Hospital District | Skilled Nursing Facility | 120 State Loop 92, La Grange, TX 78945-6035 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413537 | Citadel of Glenview LLC | Skilled Nursing Facility | 1700 E Lake Ave, Glenview, IL 60025-2003 | 2020-09-28 |
| 1598379075 | Patient Builders Marketing | Skilled Nursing Facility | 800 W Army Trail Rd, Carol Stream, IL 60188-9040 | 2020-09-02 |
| 1730790817 | Ih Fox Valley Opco, LLC | Skilled Nursing Facility | 4020 E New York St, Aurora, IL 60504-4416 | 2020-08-12 |
| 1902428147 | Aperion Care Glenwood LLC | Skilled Nursing Facility | 19330 South College Grove, Glenwood, IL 60425 | 2020-05-11 |
| 1487273330 | Residential Alternatives of Illinois, Inc | Skilled Nursing Facility | 2203 Flagg Rd, Rochelle, IL 61068 | 2020-04-10 |
| 1932728003 | Tco Jv, LLC | Skilled Nursing Facility | 550 Ridgeview Drive, Mchenry, IL 60050 | 2020-04-09 |
| 1841825510 | Ih Lisle Opco, LLC | Skilled Nursing Facility | 2850 Ogden Avenue, Lisle, IL 60532 | 2020-03-03 |
| 1114550381 | Rosiclare Hco, LLC | Skilled Nursing Facility | 55 Ferrell Rd, Rosiclare, IL 62982-1006 | 2020-02-17 |
| 1225672033 | All Ways Caring Services, Inc. | Skilled Nursing Facility | 301 N Neil St Ste 301, Champaign, IL 61820-3167 | 2019-11-05 |
| 1578036695 | Heartland Nursing & Rehabilitation LLC | Skilled Nursing Facility | 410 Nw 3rd St, Casey, IL 62420-1014 | 2019-01-11 |
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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.