Provider Demographics
NPI:1265465439
Name:ADVENTIST MIDWEST HEALTH
Entity Type:Organization
Organization Name:ADVENTIST MIDWEST HEALTH
Other - Org Name:UCHICAGO MEDICINE ADVENTHEALTH HINSDALE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:HARMAT
Authorized Official - Middle Name:
Authorized Official - Last Name:BEEBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-856-6001
Mailing Address - Street 1:120 N OAK ST
Mailing Address - Street 2:
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-3829
Mailing Address - Country:US
Mailing Address - Phone:630-856-9000
Mailing Address - Fax:630-312-7675
Practice Address - Street 1:120 N OAK ST
Practice Address - Street 2:
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-3829
Practice Address - Country:US
Practice Address - Phone:630-856-9000
Practice Address - Fax:630-312-7975
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0000976282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL140122OtherSTERLING PLAN
IL140122OtherHUMANA
IL140122OtherUNICARE
IL20OtherBLUE CROSS
IL=========OtherCHAMPUS
IL140122OtherSTERLING PLAN
IL140122OtherSTERLING PLAN