OrganizationActive
Adventist Midwest Health
NPI 1104953280 · Family Medicine Physician · La Grange, IL
Provider details
- NPI number
- 1104953280
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ruby Mann, Director of Managed Care(630) 856-6884
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5101 Willow Springs Rd
La Grange, IL 60525-2600
Phone: (708) 245-8900
Approximate (ZIP-level) locationGet directions
Mailing address
5101 Willow Springs Rd
La Grange, IL 60525-2600
Other names (DBA / former)
- Doing business as
- Adventist Lagrange Family Medicine Center
Registry dates
- Enumerated
- 2007-02-27
- Last updated
- 2016-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.