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ADULT MEDICINE PHYSICIANS OF COUNTRYSIDE
NPI 1366487936
Internal Medicine in Countryside, IL

Active since June 18, 2006CLIA 14D1053417 · Waiver
6438 JOLIET RD, COUNTRYSIDE, IL 60525(708) 352-5222(708) 352-5285 Get Directions Write a Review

NPPES record last updated: June 12, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Adult Medicine Physicians Of Countryside NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADULT MEDICINE PHYSICIANS OF COUNTRYSIDE (NPI 1366487936) is a healthcare organization registered as an internal medicine in Countryside, Illinois and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through April 24, 2028 and lists Ruby Mann, Director Of Managed Care, as its authorized official.

NPPES Registry Identity

NPI1366487936
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameADVENTIST HEALTH PARTNERS, INC
Location Address6438 JOLIET RDCountryside, IL 60525-4685
Mailing Address6438 Joliet RdCountryside, IL 60525-4685 · (708) 352-5222 · Fax (708) 352-5285
Phone(708) 352-5222
Fax(708) 352-5285
Organization SubpartNo
Authorized OfficialRuby MannDirector Of Managed Care · (630) 856-6884
Enumeration DateJune 18, 2006
Last NPPES UpdateJune 12, 2017
✔ NPI 1366487936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X
6438 JOLIET RD, Countryside, IL 60525
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Other Names 1

Doing Business AsAdult Medicine Physicians Of Countryside

Other Identifiers 1

Medicare ID-Type Unspecified208342IL

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D1053417

Adult Medicine Physicians · Countryside, IL
Active · expires Apr 24, 2028
CLIA Number14D1053417
Laboratory TypePhysician Office
Certificate Effective DateApril 25, 2026
Certificate Expiration DateApril 24, 2028
Laboratory DirectorGerald J. Simon M D
Laboratory Phone(630) 974-5216
Laboratory LocationAdult Medicine Physicians6438 Joliet Rd, Countryside, IL 60525
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JACQUELINE J CELMER FNP
Nurse Practitioner (Family)
6438 JOLIET RD
COUNTRYSIDE, IL 60525
Cook County (708) 352-5222

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Adventist Health Partners, Inc's NPI number?

The NPI number for Adventist Health Partners, Inc is 1366487936. It was assigned to this organization in the NPPES registry on June 18, 2006. The provider is doing business as Adult Medicine Physicians Of Countryside.

Where is Adventist Health Partners, Inc located?

Adventist Health Partners, Inc is located at 6438 Joliet Rd, Countryside, IL 60525. The listed phone number is (708) 352-5222.

What is Adventist Health Partners, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Adventist Health Partners, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1053417) is associated with this NPI, valid through April 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Adventist Health Partners, Inc was last updated on June 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.