Adventist La Grange Memorial Hospital - Medicare Primary Care in La Grange, IL

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Adventist La Grange Memorial Hospital is a medicare enrolled primary clinic (Family Medicine) in La Grange, Illinois. The current practice location for Adventist La Grange Memorial Hospital is 1325 Community Memorial Dr, La Grange, Illinois. For appointments, you can reach them via phone at (708) 245-8900. The mailing address for Adventist La Grange Memorial Hospital is 2601 Navistar Dr, Lisle, Illinois and phone number is () -.

Adventist La Grange Memorial Hospital is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1912353822. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (708) 245-8900.

Contact Information

Adventist La Grange Memorial Hospital
1325 Community Memorial Dr
La Grange
IL 60525-2659
(708) 245-8900
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameAdventist La Grange Memorial Hospital
SpecialityFamily Medicine
Location1325 Community Memorial Dr, La Grange, Illinois
Authorized Official Name and PositionCully Chapman (CHIEF FINANCIAL OFFICER)
Authorized Official Contact6308566062
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Adventist La Grange Memorial Hospital
2601 Navistar Dr
Lisle
IL 60532-3661

Ph: () -		Adventist La Grange Memorial Hospital
1325 Community Memorial Dr
La Grange
IL 60525-2659

Ph: (708) 245-8900

NPI Details:

NPI Number1912353822
Provider Enumeration Date05/10/2016
Last Update Date05/01/2024

Medicare PECOS Information:

Medicare PECOS PAC ID2769790401
Medicare Enrollment IDO20160606001457

Medical Identifiers

Medical identifiers for Adventist La Grange Memorial Hospital such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912353822NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
207RC0000XInternal Medicine - Cardiovascular Disease (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Adventist La Grange Memorial Hospital acts as a billing entity for following providers:
Provider NameMehmet S Gulecyuz
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1588665517
PECOS PAC ID: 3476458894
Enrollment ID: I20031215000668
Provider NameGeorge G Gibbs
Provider TypePractitioner - Advanced Heart Failure And Transplant Cardiology
Provider IdentifiersNPI Number: 1346287927
PECOS PAC ID: 8022902576
Enrollment ID: I20040214000012
Provider NameSelvakumar Kunchithapatham
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1871514810
PECOS PAC ID: 5294621413
Enrollment ID: I20040225000337
Provider NameErin J Vaughan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1992756068
PECOS PAC ID: 3971492760
Enrollment ID: I20040311000252
Provider NameDaniel E Krauss
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1932147154
PECOS PAC ID: 5496667123
Enrollment ID: I20040623000261
Provider NameEdgar S Carell
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1174578587
PECOS PAC ID: 8820073893
Enrollment ID: I20040623000361
Provider NameKaren L Lambert
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1548208762
PECOS PAC ID: 4789596404
Enrollment ID: I20040623000472
Provider NameThomas J Cahill
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1629123849
PECOS PAC ID: 7416901384
Enrollment ID: I20050303000900
Provider NameJames Robert Mc Mahon
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1386683399
PECOS PAC ID: 0749293272
Enrollment ID: I20060728000163
Provider NameAndrew T Lawrence
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1770502544
PECOS PAC ID: 6901802107
Enrollment ID: I20061011000448
Provider NameElizabeth C Kirchoff
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1659423051
PECOS PAC ID: 0749373223
Enrollment ID: I20070830000061
Provider NameLeo J Koenig
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013967322
PECOS PAC ID: 6709949977
Enrollment ID: I20090114000319
Provider NamePaul D Ryan
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1497750749
PECOS PAC ID: 8527167972
Enrollment ID: I20090609000398
Provider NameMeechai Tessalee
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1841295193
PECOS PAC ID: 9436258886
Enrollment ID: I20090609000410
Provider NameDuane F Follman
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1831145333
PECOS PAC ID: 9335051051
Enrollment ID: I20090609000497
Provider NameGregory M Lewis
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1104864321
PECOS PAC ID: 1850203589
Enrollment ID: I20090609000637
Provider NameDaphne S Tessalee
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1124078357
PECOS PAC ID: 2466589460
Enrollment ID: I20100422001135
Provider NameDaniel G Hunter Smith
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1619925963
PECOS PAC ID: 9638206634
Enrollment ID: I20100422001142
Provider NameJennifer W Swoyer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1942251749
PECOS PAC ID: 1254468283
Enrollment ID: I20100423000240
Provider NameFrancisco G Aguilar
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1487637567
PECOS PAC ID: 9234161662
Enrollment ID: I20101207000080
Provider NameEleanor T Ross
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1801054549
PECOS PAC ID: 7719112143
Enrollment ID: I20131021000582
Provider NameAlap P Shah
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1962664243
PECOS PAC ID: 0345476933
Enrollment ID: I20131204001889
Provider NameLayne Alexander Phillips
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1740545789
PECOS PAC ID: 3274759717
Enrollment ID: I20150626000167
Provider NameLisa Lin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588990931
PECOS PAC ID: 8224177712
Enrollment ID: I20151103000661
Provider NameSarah Kay Welch
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1053758557
PECOS PAC ID: 2264658699
Enrollment ID: I20160808000055
Provider NameKatarzyna Helena Rogala
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1124465844
PECOS PAC ID: 9133427347
Enrollment ID: I20170125000861
Provider NameMarcin Piotr Dobaczewski
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1770859993
PECOS PAC ID: 4789971912
Enrollment ID: I20180828000841
Provider NameNoura M. Dabbouseh
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1770882029
PECOS PAC ID: 7719101781
Enrollment ID: I20191021000181
Provider NameKeenan Adib
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1790098804
PECOS PAC ID: 7214186550
Enrollment ID: I20200504001539
Provider NameNazia Alvi
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1225455900
PECOS PAC ID: 9931444684
Enrollment ID: I20210731000160
Provider NameAlexander C Shaw
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1609367119
PECOS PAC ID: 0749616563
Enrollment ID: I20210803001562
Provider NameMayur Patel
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1629463427
PECOS PAC ID: 9436429610
Enrollment ID: I20210817002557

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.