| Adventist Midwest Health | |
|
1325 Community Memorial Dr La Grange IL 60525-2659 | |
| (708) 245-8900 | |
| Not Available |
| Full Name | Adventist Midwest Health |
|---|---|
| Speciality | Family Medicine |
| Location | 1325 Community Memorial Dr, La Grange, Illinois |
| Authorized Official Name and Position | Cully Chapman (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 6308566062 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adventist Midwest Health 2601 Navistar Dr Lisle IL 60532-3661 Ph: () - | Adventist Midwest Health 1325 Community Memorial Dr La Grange IL 60525-2659 Ph: (708) 245-8900 |
| NPI Number | 1912353822 |
|---|---|
| Provider Enumeration Date | 05/10/2016 |
| Last Update Date | 05/01/2024 |
| Medicare PECOS PAC ID | 2769790401 |
|---|---|
| Medicare Enrollment ID | O20160606001457 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912353822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Secondary |
| Provider Name | George G Gibbs |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1346287927 PECOS PAC ID: 8022902576 Enrollment ID: I20040214000012 |
| Provider Name | Selvakumar Kunchithapatham |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1871514810 PECOS PAC ID: 5294621413 Enrollment ID: I20040225000337 |
| Provider Name | Erin J Vaughan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992756068 PECOS PAC ID: 3971492760 Enrollment ID: I20040311000252 |
| Provider Name | Daniel E Krauss |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932147154 PECOS PAC ID: 5496667123 Enrollment ID: I20040623000261 |
| Provider Name | Edgar S Carell |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1174578587 PECOS PAC ID: 8820073893 Enrollment ID: I20040623000361 |
| Provider Name | Karen L Lambert |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548208762 PECOS PAC ID: 4789596404 Enrollment ID: I20040623000472 |
| Provider Name | James Robert Mc Mahon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386683399 PECOS PAC ID: 0749293272 Enrollment ID: I20060728000163 |
| Provider Name | Andrew T Lawrence |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1770502544 PECOS PAC ID: 6901802107 Enrollment ID: I20061011000448 |
| Provider Name | Elizabeth C Kirchoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659423051 PECOS PAC ID: 0749373223 Enrollment ID: I20070830000061 |
| Provider Name | Paul D Ryan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1497750749 PECOS PAC ID: 8527167972 Enrollment ID: I20090609000398 |
| Provider Name | Meechai Tessalee |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1841295193 PECOS PAC ID: 9436258886 Enrollment ID: I20090609000410 |
| Provider Name | Duane F Follman |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1831145333 PECOS PAC ID: 9335051051 Enrollment ID: I20090609000497 |
| Provider Name | Gregory M Lewis |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1104864321 PECOS PAC ID: 1850203589 Enrollment ID: I20090609000637 |
| Provider Name | Daphne S Tessalee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124078357 PECOS PAC ID: 2466589460 Enrollment ID: I20100422001135 |
| Provider Name | Jennifer W Swoyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942251749 PECOS PAC ID: 1254468283 Enrollment ID: I20100423000240 |
| Provider Name | Francisco G Aguilar |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1487637567 PECOS PAC ID: 9234161662 Enrollment ID: I20101207000080 |
| Provider Name | Eleanor T Ross |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801054549 PECOS PAC ID: 7719112143 Enrollment ID: I20131021000582 |
| Provider Name | Alap P Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962664243 PECOS PAC ID: 0345476933 Enrollment ID: I20131204001889 |
| Provider Name | Layne Alexander Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740545789 PECOS PAC ID: 3274759717 Enrollment ID: I20150626000167 |
| Provider Name | Lisa Lin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588990931 PECOS PAC ID: 8224177712 Enrollment ID: I20151103000661 |
| Provider Name | Sarah Kay Welch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053758557 PECOS PAC ID: 2264658699 Enrollment ID: I20160808000055 |
| Provider Name | Katarzyna Helena Rogala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124465844 PECOS PAC ID: 9133427347 Enrollment ID: I20170125000861 |
| Provider Name | Jaynee E Pendergast |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235519901 PECOS PAC ID: 6608140371 Enrollment ID: I20171024002323 |
| Provider Name | Marcin Piotr Dobaczewski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770859993 PECOS PAC ID: 4789971912 Enrollment ID: I20180828000841 |
| Provider Name | Noura M. Dabbouseh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770882029 PECOS PAC ID: 7719101781 Enrollment ID: I20191021000181 |
| Provider Name | Keenan Adib |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1790098804 PECOS PAC ID: 7214186550 Enrollment ID: I20200504001539 |
| Provider Name | Nazia Alvi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225455900 PECOS PAC ID: 9931444684 Enrollment ID: I20210731000160 |
| Provider Name | Alexander C Shaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609367119 PECOS PAC ID: 0749616563 Enrollment ID: I20210803001562 |
| Provider Name | Mayur Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629463427 PECOS PAC ID: 9436429610 Enrollment ID: I20210817002557 |
| Provider Name | Amanda Jean Slater |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366090201 PECOS PAC ID: 2062872849 Enrollment ID: I20230712003622 |
| Provider Name | Alaina Roy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689240343 PECOS PAC ID: 5991107617 Enrollment ID: I20240718002986 |
Wk Arthritis Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5201 S. Willow Springs Road, Suite 450, La Grange, IL 60525 Phone: 716-346-7645 | |
Adventist Midwest Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5101 Willow Springs Rd, La Grange, IL 60525 Phone: 708-245-8900 | |
William H. Gros, Md,sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 512 W Burlington Ave, Suite 100, La Grange, IL 60525 Phone: 630-390-1240 Fax: 630-390-1247 | |
Adventist Health Partners,inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5101 Willow Springs Rd, La Grange, IL 60525 Phone: 708-245-4073 Fax: 708-245-5614 | |
Pam Mcquaid Lcsw Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 512 W Burlington Ave Ste 3, La Grange, IL 60525 Phone: 708-639-1693 | |
Adventist Health Partners, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5201 Willow Springs Rd, Ste 160, La Grange, IL 60525 Phone: 708-354-0920 Fax: 708-354-0974 | |
Adventist Health Partners, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5201 Willow Springs Rd, Suite 150, La Grange, IL 60525 Phone: 708-245-8120 Fax: 708-245-8119 |