Organization
ADVENTIST MIDWEST HEALTH
Active
Parent organization
ADVENTIST MIDWEST HEALTH
Other names
UCHICAGO MEDICINE ADVENTHEALTH HOME CARE, Adventist Health Care at Home
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVENTIST MIDWEST HEALTH
Authorized official
CULLY CHAPMAN (CFO)
(630) 856-6062
Entity
Organization
Contact information
Practice address
5101 WILLOW SPRINGS RD, LA GRANGE, IL 60525-2600
(708) 245-6901
(708) 245-6919
Mailing address
5101 WILLOW SPRINGS RD, LA GRANGE, IL 60525-2600
(708) 245-6901
(708) 245-6919
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1693721
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147207
GREAT WEST HEALTHCARE
IL
05
—
363106866001
—
IL
01
—
6000397
UNITED HEALTHCARE
IL
01
—
9627
BLUE CROSS BLUE SHIELD IL
IL
Enumeration date
06/21/2006
Last updated
05/01/2024
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