Provider Demographics
NPI:1417249145
Name:7 HILLS HEALTHCARE CENTER P.C.
Entity Type:Organization
Organization Name:7 HILLS HEALTHCARE CENTER P.C.
Other - Org Name:7 HILLS HEALTHCARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:HEALTHCARE ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:BUSH
Authorized Official - Suffix:
Authorized Official - Credentials:MHA
Authorized Official - Phone:847-428-2273
Mailing Address - Street 1:650 SPRING HILL RING RD
Mailing Address - Street 2:SUITE 2000
Mailing Address - City:WEST DUNDEE
Mailing Address - State:IL
Mailing Address - Zip Code:60118-1296
Mailing Address - Country:US
Mailing Address - Phone:847-428-2273
Mailing Address - Fax:847-428-3128
Practice Address - Street 1:152 N ADDISON AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-2821
Practice Address - Country:US
Practice Address - Phone:847-428-2273
Practice Address - Fax:847-428-3128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-13
Last Update Date:2011-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036047835207Q00000X
IL036110141207R00000X, 207U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207U00000XAllopathic & Osteopathic PhysiciansNuclear MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036110141Medicaid
IL036047835Medicaid
IL217144001Medicare PIN
ILI472080Medicare PIN