Healthcare Provider Details

I. General information

NPI: 1386553576
Provider Name (Legal Business Name): ADVENTIST MIDWEST HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2363 63RD ST STE 102
WOODRIDGE IL
60517-1300
US

IV. Provider business mailing address

2363 63RD ST STE 102
WOODRIDGE IL
60517-1300
US

V. Phone/Fax

Practice location:
  • Phone: 630-716-7510
  • 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: CULLY L CHAPMAN
Title or Position: CFO
Credential:
Phone: 630-856-6006