Provider Type Icon

ADVENTIST HEALTH PARTNERS INC NPI 1700048667


NPI Information

NPI: 1700048667
Provider Name: ADVENTIST HEALTH PARTNERS, INC

Doing Business As: WEST SUBURBAN EAR NOSE & THROAT CENTER

Classification: Otolaryngology - 207Y00000X
Entity Type: Organization

CLIA Number: 14D2102649

Address:
5207 MAIN ST
STE 5
DOWNERS GROVE, IL
ZIP 60515
Phone: (630) 981-0032
Get Directions

ADVENTIST HEALTH PARTNERS, INC is an otolaryngology in Downers Grove, IL. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. ADVENTIST HEALTH PARTNERS, INC NPI is 1700048667. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As West Suburban Ear Nose & Throat Center.

The provider's business location address is:

5207 MAIN ST
STE 5
DOWNERS GROVE, IL
ZIP 60515-652
Phone: (630) 981-0032
Fax: (630) 241-0884

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

The CLIA number assigned to this NPI record is 14D2102649 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/1/2008 and was last updated on 6/14/2017.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Y00000XOtolaryngology036093003ILLINOISYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1399980MEDICARE PINILLINOIS

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.