CCN: 140304 NPI: 1164530465 Organization

UCHICAGO MEDICINE ADVENTHEALTH BOLINGBROOK

500 REMINGTON BLVD
BOLINGBROOK, IL 604404906

Contact Information

Phone 6303125000
Fax 6303126800
Enumeration Date 2006-08-27
Last Updated 2024-01-17

Taxonomies

Code: 282N00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.271

medicaidRatio 0.2642

uncompensatedCareAmount 1522.52

vbpAdjustment 0.9978434248

hhrAdjustment 0.9991

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.271

medicaidRatio 0.2642

uncompensatedCareAmount 1522.52

vbpAdjustment 0.9978434248

hhrAdjustment 0.9991

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.271

medicaidRatio 0.2642

uncompensatedCareAmount 904.38

vbpAdjustment 1.0103171808

hhrAdjustment 0.9975

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.271

medicaidRatio 0.2642

uncompensatedCareAmount 904.38

vbpAdjustment 1.0103171808

hhrAdjustment 0.9975

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.271

medicaidRatio 0.2729

uncompensatedCareAmount 904.38

vbpAdjustment 1.0103171808

hhrAdjustment 0.9975

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.271

medicaidRatio 0.2729

uncompensatedCareAmount 904.38

vbpAdjustment 1.0103171808

hhrAdjustment 0.9975

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.271

medicaidRatio 0.2729

uncompensatedCareAmount 753.26

vbpAdjustment 1.0021841445

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.271

medicaidRatio 0.2507

uncompensatedCareAmount 753.26

vbpAdjustment 1.0021841445

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.296

medicaidRatio 0.2507

uncompensatedCareAmount 753.26

vbpAdjustment 1.0021841445

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.296

medicaidRatio 0.2507

uncompensatedCareAmount 753.26

vbpAdjustment 1.0021841445

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.296

medicaidRatio 0.2507

uncompensatedCareAmount 637.03

hhrAdjustment 0.9979

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.296

medicaidRatio 0.2501

uncompensatedCareAmount 637.03

hhrAdjustment 0.9979

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.246

medicaidRatio 0.2501

uncompensatedCareAmount 637.03

hhrAdjustment 0.9979

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.246

medicaidRatio 0.2501

uncompensatedCareAmount 637.03

hhrAdjustment 0.9979

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.246

medicaidRatio 0.2523

uncompensatedCareAmount 637.03

hhrAdjustment 0.9979

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.246

medicaidRatio 0.2523

uncompensatedCareAmount 548.64

hhrAdjustment 0.9921

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.241

medicaidRatio 0.2523

uncompensatedCareAmount 548.64

hhrAdjustment 0.9921

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.241

medicaidRatio 0.2523

uncompensatedCareAmount 548.64

hhrAdjustment 0.9921

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.241

medicaidRatio 0.2523

uncompensatedCareAmount 548.64

hhrAdjustment 0.9921

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.241

medicaidRatio 0.2523

uncompensatedCareAmount 485.0

vbpAdjustment 1.0049398053

hhrAdjustment 0.9863

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.241

medicaidRatio 0.2486

uncompensatedCareAmount 485.0

vbpAdjustment 1.0049398053

hhrAdjustment 0.9863

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.245

medicaidRatio 0.2486

uncompensatedCareAmount 485.0

vbpAdjustment 1.0049398053

hhrAdjustment 0.9863

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.225

medicaidRatio 0.2486

uncompensatedCareAmount 485.0

vbpAdjustment 1.0049398053

hhrAdjustment 0.9863

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.225

medicaidRatio 0.2654

uncompensatedCareAmount 485.0

vbpAdjustment 1.0049398053

hhrAdjustment 0.9863

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

operatingCostToChargeRatio 0.225

medicaidRatio 0.2654

uncompensatedCareAmount 473.25

vbpAdjustment 1.001391714

hhrAdjustment 0.9895

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

operatingCostToChargeRatio 0.24

medicaidRatio 0.2654

uncompensatedCareAmount 473.25

vbpAdjustment 1.001391714

hhrAdjustment 0.9895

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

operatingCostToChargeRatio 0.24

medicaidRatio 0.2654

uncompensatedCareAmount 473.25

vbpAdjustment 1.001391714

hhrAdjustment 0.9895

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

operatingCostToChargeRatio 0.24

medicaidRatio 0.2842

uncompensatedCareAmount 473.25

vbpAdjustment 1.001391714

hhrAdjustment 0.9895

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

operatingCostToChargeRatio 0.24

medicaidRatio 0.2842

uncompensatedCareAmount 629.77

vbpAdjustment 0.9999810993

hhrAdjustment 0.9946

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

operatingCostToChargeRatio 0.238

medicaidRatio 0.2842

uncompensatedCareAmount 629.77

vbpAdjustment 0.9999810993

hhrAdjustment 0.9946

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

operatingCostToChargeRatio 0.238

medicaidRatio 0.2842

uncompensatedCareAmount 629.77

vbpAdjustment 0.9999810993

hhrAdjustment 0.9946

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

operatingCostToChargeRatio 0.238

medicaidRatio 0.2704

uncompensatedCareAmount 629.77

vbpAdjustment 0.9999810993

hhrAdjustment 0.9946

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

operatingCostToChargeRatio 0.238

medicaidRatio 0.2704

uncompensatedCareAmount 651.56

vbpAdjustment 1.0030031864

hhrAdjustment 0.9942

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

operatingCostToChargeRatio 0.282

medicaidRatio 0.2704

uncompensatedCareAmount 651.56

vbpAdjustment 1.0030031864

hhrAdjustment 0.9942

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.175

deviceCostToChargeRatio 0.245

specialPaymentIndicator

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.175

deviceCostToChargeRatio 0.245

specialPaymentIndicator

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.22

deviceCostToChargeRatio 0.263

specialPaymentIndicator

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.22

deviceCostToChargeRatio 0.263

specialPaymentIndicator

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.192

deviceCostToChargeRatio 0.296

specialPaymentIndicator

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.192

deviceCostToChargeRatio 0.296

specialPaymentIndicator

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.187

deviceCostToChargeRatio 0.274

specialPaymentIndicator

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.187

deviceCostToChargeRatio 0.274

specialPaymentIndicator

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.198

deviceCostToChargeRatio 0.257

specialPaymentIndicator

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.198

deviceCostToChargeRatio 0.257

specialPaymentIndicator

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.25

deviceCostToChargeRatio 0.264

specialPaymentIndicator

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.23

deviceCostToChargeRatio 0.248

specialPaymentIndicator

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 16974

providerType 00

operatingCostToChargeRatio 0.23

deviceCostToChargeRatio 0.248

specialPaymentIndicator

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 16974

providerType 00

operatingCostToChargeRatio 0.182

deviceCostToChargeRatio 0.286

specialPaymentIndicator

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 16974

providerType 00

operatingCostToChargeRatio 0.182

deviceCostToChargeRatio 0.286

specialPaymentIndicator

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 16974

providerType 00

operatingCostToChargeRatio 0.189

deviceCostToChargeRatio 0.295

specialPaymentIndicator

carrierCode 09102

localityCode 99

cbsaActualGeographicLocation 16974

providerType 00

operatingCostToChargeRatio 0.189

deviceCostToChargeRatio 0.295

specialPaymentIndicator

carrierCode 09102

localityCode 99

UCHICAGO MEDICINE ADVENTHEALTH BOLINGBROOK

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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