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ADVENTIST MIDWEST HEALTH NPI 1821156068


NPI Information

NPI: 1821156068
Provider Name: ADVENTIST MIDWEST HEALTH

Doing Business As: LAGRANGE MEMORIAL HOSPITAL CARDIOLOLGY

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
5101 WILLOW SPRINGS RD
LA GRANGE, IL
ZIP 60525
Phone: (708) 245-3650
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ADVENTIST MIDWEST HEALTH is a cardiovascular disease internal medicine in La Grange, IL. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. ADVENTIST MIDWEST HEALTH NPI is 1821156068. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Lagrange Memorial Hospital Cardiololgy.

The provider's business location address is:

5101 WILLOW SPRINGS RD
LA GRANGE, IL
ZIP 60525-600
Phone: (708) 245-3650

The provider's authorized official is Ruby Mann .
The authorized official title is Director Of Managed Care and has the following contact phone number (630) 856-6884.

The enumeration date for this NPI number is 12/4/2006 and was last updated on 4/21/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CG5784OTHERILLINOISRAILROAD MEDICARE PTAN
2534900MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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