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Adventist Bolingbrook Hospital

Community/Retail Pharmacy in Bolingbrook, IL · enumerated 2011 · authorized official Tristan Shaw, Chief Financial Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1184923260

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Registry record

Entity type Organization (Type 2)
Legal business name Adventist Bolingbrook Hospital
Other name <Unavail>
Practice address 500 Remington Blvd, Bolingbrook, IL, 60440
Fax (630) 312-6814
Enumeration date Mar 15, 2011
Last updated in NPPES Nov 8, 2024

Taxonomy & classification

333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 054-017593 (IL) Primary
3336C0004X Compounding Pharmacy Suppliers Secondary
3336S0011X Specialty Pharmacy Suppliers Secondary

Authorized official

Name Tristan Shaw
Title Chief Financial Officer

Other identifiers

Identifier Type State Issuer
1184923260 Medicaid IL -
2129034 Other - PK

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Adventist Bolingbrook Hospital located?
The practice location on file with NPPES is in Bolingbrook, IL.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-11-08. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-11-08.