Healthcare Provider Details

I. General information

NPI: 1205744620
Provider Name (Legal Business Name): ADVENTIST GLENOAKS HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 E ARMY TRAIL RD STE 403
BLOOMINGDALE IL
60108-2155
US

IV. Provider business mailing address

303 E ARMY TRAIL RD STE 403
BLOOMINGDALE IL
60108-2155
US

V. Phone/Fax

Practice location:
  • Phone: 630-894-7083
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: ZACHARY DYE
Title or Position: CFO
Credential:
Phone: 630-545-3901