Organization
ADVENTIST BOLINGBROOK HOSPITAL
Active
Other names
ADVENTHEALTH BOLINGBROOK, UCHICAGO MEDICINE ADVENTHEALTH BOLINGBROOK
Organization subpart
No
Provider details
NPI number
Authorized official
TRISTAN SHAW (CFO)
(708) 245-2211
Entity
Organization
Contact information
Practice address
500 REMINGTON BLVD, BOLINGBROOK, IL 60440-4906
(630) 312-5000
(630) 312-6800
Mailing address
500 REMINGTON BLVD, BOLINGBROOK, IL 60440-4906
(630) 312-5000
(630) 312-6800
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50667
BLUE CROSS
IL
Enumeration date
08/27/2006
Last updated
01/17/2024
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