Look up the most recent NPI and PECOS records

Adventist Midwest Health

(<Unavail>)

Family Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

Based on the most recent information from CMS, provider Adventist Midwest Health does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1366579443
Provider Type
Organization
Full Name
Adventist Midwest Health
Other Name
<Unavail>

Subpart
No
Enumeration Date
2/27/2007
Last Updated
11/14/2024

Contact Information

Practice Location

135 N Oak St, Hinsdale, IL 60521-3860

(630) 856-8900

(630) 856-8923

Mailing Location

PO Box 775248, Chicago, IL 60677-5248

Unlisted Phone

Unlisted Fax

Authorized Official

Chapman, Cully (Chief Financial Officer)

(630) 856-6006

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 1041C0700X	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 207N00000X	Description Dermatology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207V00000X	Description Obstetrics & Gynecology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 2084P0800X	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 2084P0804X	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 261QM1300X	Description Clinic/Center Ambulatory Health Care Facilities	License Unlisted Issuer

Provider Identifiers

ID	Description	Issuer
ID CC5403	Description Other	Issuer RRMC Illinois
ID 2215411	Description Other	Issuer BCBS

Adventist Midwest Health

(<Unavail>)

PECOS Enrollment

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