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Organization
ADVENTIST MIDWEST HEALTH
Active
Organization
ADVENTIST MIDWEST HEALTH
Active
Other names
HINSDALE FAMILY MEDICINE CENTER, ADVENTHEALTH FAMILY MEDICINE CENTER HINSDALE
Organization subpart
No
Provider details
NPI number
Authorized official
CULLY CHAPMAN (CHIEF FINANCIAL OFFICER)
(630) 856-6006
Entity
Organization
Contact information
Practice address
135 N OAK ST, HINSDALE, IL 60521-3860
(630) 856-8900
(630) 856-8923
Mailing address
PO BOX 775248, CHICAGO, IL 60677-5248
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2215411
BCBS
—
01
—
CC5403
RRMC
IL
Enumeration date
02/27/2007
Last updated
11/14/2024
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