# ADVENTIST HEALTH PARTNERS, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** ADULT MEDICINE PHYSICIANS OF COUNTRYSIDE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366487936
- **Authorized official:** MRS. RUBY MANN (DIRECTOR OF MANAGED CARE)
- **Authorized official phone:** (630) 856-6884

## Contact information

- **Practice address:** 6438 JOLIET RD, COUNTRYSIDE, IL 60525-4685
- **Practice address phone:** (708) 352-5222
- **Practice address fax:** (708) 352-5285
- **Mailing address:** 6438 JOLIET RD, COUNTRYSIDE, IL 60525-4685
- **Mailing address phone:** (708) 352-5222
- **Mailing address fax:** (708) 352-5285

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 363LG0600X | Gerontology Nurse Practitioner | — | NULL | — |
| 363LG0600X | Gerontology Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/18/2006
- **Last updated:** 06/12/2017