ADVOCATE GOOD SAMARITAN HOSPITAL
NPI 1710362991
General Acute Care Hospital in Downers Grove, IL

NPI Status: Active since July 29, 2015

Contact Information

3743 HIGHLAND AVE
DOWNERS GROVE, IL
ZIP 60515
Phone: (630) 275-6300

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  • Organization
  • General Acute Care Hospital
  • CLIA Number: 14D2111999
  • CLIA Cert. Type: Other - WORKSITE CLINIC
  • CLIA Exp. Date: 04-19-2026

About ADVOCATE GOOD SAMARITAN HOSPITAL

This page provides the complete NPI Profile along with additional information for Advocate Good Samaritan Hospital, a provider established in Downers Grove, Illinois operating as a General Acute Care Hospital. The healthcare provider is registered in the NPI registry with number 1710362991 assigned on July 2015. The practitioner's primary taxonomy code is 282N00000X with license number 180008332 (IL). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Cheryl Mayer M.s. (Manager, Outpatient Behavioral Hlth)

NPI
1710362991
Provider Name
ADVOCATE GOOD SAMARITAN HOSPITAL
Entity Type
Organization
Location Address
3743 HIGHLAND AVE DOWNERS GROVE, IL 60515
Location Phone
(630) 275-6300
Mailing Address
3743 HIGHLAND AVE DOWNERS GROVE, IL 60515
Mailing Phone
(630) 275-6300
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-29-2015
Last Update Date
07-29-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Acute Care Hospital

Taxonomy Code
282N00000X
Type
Hospitals
License No.
180008332
License State
IL
Taxonomy Description
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHERYL MAYER M.S.

Authorized Official Title
MANAGER, OUTPATIENT BEHAVIORAL HLTH
Authorized Official Phone
(630) 275-3773

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
14D2111999
Facility Type
Other - WORKSITE CLINIC
Certificate Effective Date
April 20, 2024
Certificate Expiration Date
April 19, 2026
Laboratory Director
PRENTISS TAYLOR MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Advocate Good Samaritan Hospital to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1710362991
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2720664918
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 6 + 6 + 4 + 9 + 1 + 8 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1710362991 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

SUSAN C BADRI M.D.

Internal Medicine

3743 HIGHLAND AVE
STE. 1001
DOWNERS GROVE, IL
ZIP 60515

(630) 435-9888

JAMES DAN MD

Internal Medicine

(Geriatric Medicine)

3743 HIGHLAND AVE
STE 1001
DOWNERS GROVE, IL
ZIP 60515

(630) 435-9888

KATHLEEN GRUZALSKI MD

Pediatrics

3743 HIGHLAND AVE
STE 1003
DOWNERS GROVE, IL
ZIP 60515

(630) 964-6049

JAMES POLLACK MD

Pediatrics

3743 HIGHLAND AVE
STE 1003
DOWNERS GROVE, IL
ZIP 60515

(630) 964-6049

STEVEN SCHMITZ MD

Internal Medicine

3743 HIGHLAND AVE
STE 1001
DOWNERS GROVE, IL
ZIP 60515

(630) 435-9888

MICHAEL STEINKEN MD

Pediatrics

3743 HIGHLAND AVE
STE 1003
DOWNERS GROVE, IL
ZIP 60515

(630) 964-6049

KATHY O'GRADY NP

Nurse Practitioner

3743 HIGHLAND AVE
STE 1001
DOWNERS GROVE, IL
ZIP 60515

(630) 435-9888

NATALIE DEKOKER RN, CDE

Dietitian, Registered

3743 HIGHLAND AVE
1001
DOWNERS GROVE, IL
ZIP 60515

(630) 435-6136

CYNTHIA A URBANOWICZ MD

Pediatrics

3743 HIGHLAND AVE
STE 1003
DOWNERS GROVE, IL
ZIP 60515

(630) 964-6049

DR. SUMMER NICOLE WIRTH M.D.

Obstetrics & Gynecology

3743 HIGHLAND AVE
STE 1005
DOWNERS GROVE, IL
ZIP 60515

(630) 435-6107

RICHARD FRANCIS MCPARTLIN III MD

Internal Medicine

3743 HIGHLAND AVE
STE 1001
DOWNERS GROVE, IL
ZIP 60515

(630) 435-9888

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710362991, enumerated as an "organization" on July 29, 2015.

The provider is located at 3743 HIGHLAND AVE DOWNERS GROVE, IL 60515 and the phone number is (630) 275-6300.

General Acute Care Hospital with taxonomy code 282N00000X.