ADVENTIST MIDWEST HEALTH (NPI# 1366579443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366579443 |
| Entity Type | Organization |
| Organization Name | ADVENTIST MIDWEST HEALTH |
| Other Organization Name | HINSDALE FAMILY MEDICINE CENTER |
| Practice Address |
135 N Oak St Hinsdale IL 60521-3860 |
| Mailing Address |
1000 Remington Blvd Ste 200 Bolingbrook IL 60440-5114 |
| Practice Telephone | 6308568900 |
| Practice Fax Number | 6308568923 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2017-06-07 |
| Authorized Official Name | MRS. RUBY MANN (DIRECTOR MANAGED CARE) |
| Authorized Official Telephone | 6308566884 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | RRMC | CC5403 | 01 |
| BCBS | 2215411 | 01 |
| Other Name | Type Code |
|---|---|
| HINSDALE FAMILY MEDICINE CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053415653 | Adventist Midwest Health | Pharmacy | 120 North Oak Street, Hinsdale, IL 60521-3829 | 2006-09-12 |
| 1447270780 | Adventist Midwest Health | Psychiatric Unit | 120 N Oak Street, Hinsdale, IL 60521 | 2006-07-20 |
| 1912353822 | Adventist Midwest Health | Internal Medicine | 1325 Community Memorial Dr, La Grange, IL 60525-2659 | 2016-05-10 |
| 1588068274 | Adventist Midwest Health | Rehabilitation Unit | 5101 Willow Springs Rd, La Grange, IL 60525-2600 | 2014-10-09 |
| 1326326216 | Adventist Midwest Health | Nurse Practitioner | 120 N Oak St, Hinsdale, IL 60521-3829 | 2011-07-27 |
| 1245498948 | Adventist Midwest Health | General Acute Care Hospital | 120 North Oak Street, Hinsdale, IL 60521-3829 | 2008-05-29 |
| 1578746178 | Adventist Midwest Health | Pediatrics | 120 N Oak St, Hinsdale, IL 60521-3829 | 2007-12-06 |
| 1104953280 | Adventist Midwest Health | Family Medicine | 5101 Willow Springs Rd, La Grange, IL 60525-2600 | 2007-02-27 |
| 1821156068 | Adventist Midwest Health | Internal Medicine | 5101 Willow Springs Rd, La Grange, IL 60525-2600 | 2006-12-04 |
| 1962570382 | Adventist Midwest Health | Internal Medicine | 120 N Oak St, Hinsdale, IL 60521-3829 | 2006-12-01 |
| Street Address |
135 N OAK ST |
| City | HINSDALE |
| State | IL |
| Zip Code | 60521-3860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639150121 | Zewdu Haile | Emergency Medicine | 135 N Oak St, Hinsdale, IL 60521-3860 | 2005-11-10 |
| 1831718246 | Philip Peter Serafin | Student in an Organized Health Care Education/Training Program | 135 N Oak St, Hinsdale, IL 60521-3860 | 2020-04-15 |
| 1437778776 | Frances Nanadiego | Student in an Organized Health Care Education/Training Program | 135 N Oak St, Hinsdale, IL 60521-3860 | 2020-04-15 |
| 1972122455 | Jason Tyler Rothchild | Student in an Organized Health Care Education/Training Program | 135 N Oak St, Hinsdale, IL 60521-3860 | 2020-04-14 |
| 1982223558 | Krishna Dipak Modi | Student in an Organized Health Care Education/Training Program | 135 N Oak St, Hinsdale, IL 60521-3860 | 2020-04-13 |
| 1487273082 | Sabiha Raziuddin | Student in an Organized Health Care Education/Training Program | 135 N Oak St, Hinsdale, IL 60521-3860 | 2020-04-13 |
| 1134748718 | Nicole Sobkowicz | Student in an Organized Health Care Education/Training Program | 135 N Oak St, Hinsdale, IL 60521-3860 | 2020-04-13 |
| 1528687282 | Anh Tran | Student in an Organized Health Care Education/Training Program | 135 N Oak St, Hinsdale, IL 60521-3860 | 2020-04-13 |
| 1487273140 | Anne Chen | Student in an Organized Health Care Education/Training Program | 135 N Oak St, Hinsdale, IL 60521-3860 | 2020-04-13 |
| 1194344895 | Samia Amjad | Student in an Organized Health Care Education/Training Program | 135 N Oak St, Hinsdale, IL 60521-3860 | 2020-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386256170 | Infinity Yoga LLC | Counselor | 702 Mills St, Hinsdale, IL 60521 | 2020-08-21 |
| 1427696855 | Anne Didier | Nurse Practitioner | 40 South Clay St., Suite 200, West Building, Hinsdale, IL 60521 | 2019-12-16 |
| 1619469244 | Rush Oak Brook Surgery Center, LLC | Clinic/Center | 2011 York Road, Suite 3000, Oak Brook, IL 60521 | 2018-05-30 |
| 1639680275 | Kelly M Lyell | Psychologist | 950 S Oak St, Hinsdale, IL 60521 | 2017-10-23 |
| 1386169720 | Elizabeth Ann Thorsness | Counselor | 412 East Fourth St., Hinsdale, IL 60521 | 2017-08-07 |
| 1275057424 | Bryndal Nicole Chervinko | Audiologist | 908 North Elm Street, Suite 306, Hinsdale, IL 60521 | 2017-07-31 |
| 1972038990 | Carolyn M Ball | Counselor | 19 N Grant St Ste 2c, Hinsdale, IL 60521 | 2017-04-27 |
| 1710429964 | Smiling Star Speech & Language | Speech-Language Pathologist | 120 E Odgen Avenue, Suite 110, Hinsdale, IL 60521 | 2016-11-04 |
| 1972964773 | Sharon Grob Murphy | Psychologist | 728 S. Park Ave., Hinsdale, IL 60521 | 2016-03-08 |
| 1992187074 | Matthew Destefani | Emergency Medicine | 109 Symonds Dr # 578, Hinsdale, IL 60521 | 2015-06-24 |
| Find all providers in zip 60521 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467828970 | Adventist Health Partners, Inc. | Family Medicine | 222 E Ogden Ave, Hinsdale, IL 60521-2458 | 2015-08-19 |
| 1881074599 | Zoheb Osman | Family Medicine | 911 N Elm St Ste 301, Hinsdale, IL 60521 | 2015-06-08 |
| 1023160488 | Aleea Gupta | Family Medicine | 211 W Chicago Ave Ste 210, Hinsdale, IL 60521 | 2007-01-17 |
| 1467498618 | Joseph Reda | Family Medicine | 11 Salt Creek Ln Ste 125, Hinsdale, IL 60521-3041 | 2006-06-22 |
| 1871550798 | Lisa Holmes | Family Medicine | 911 N Elm St, Ste 123, Hinsdale, IL 60521-3634 | 2006-04-26 |
| 1033102744 | Ingrid Y Liu | Family Medicine | 907 N Elm St, Hinsdale, IL 60521-3630 | 2005-08-26 |
| 1356790653 | Sheena Aleena Eettickal | Family Medicine | 135 N Oak St, Hinsdale, IL 60521-3860 | 2016-06-07 |
| 1164877882 | Steven Broderick | Family Medicine | 40 S Clay St Ste 210, Hinsdale, IL 60521 | 2016-05-01 |
| 1487034195 | Farahnaz Amina Ali | Family Medicine | 135 N Oak St, Hinsdale, IL 60521 | 2015-06-08 |
| 1699193268 | Mahveen Ethezaz | Family Medicine | 40 S Clay St Ste 210, Hinsdale, IL 60521-3257 | 2014-04-01 |
| Find all providers in HINSDALE | ||||
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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.