# ADVENTIST BOLINGBROOK HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Adventist Bolingbrook Orthopedics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386015642
- **Authorized official:** RUBY MANN (DIRECTOR)
- **Authorized official phone:** (630) 856-6884

## Contact information

- **Practice address:** 500 REMINGTON BLVD, BOLINGBROOK, IL 60440-4906
- **Practice address phone:** (630) 312-5000
- **Mailing address:** 500 REMINGTON BLVD, BOLINGBROOK, IL 60440-4906

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/13/2015
- **Last updated:** 10/13/2015