Organization · NPI-2

Advocate Lutheran General Hospital

General Acute Care Hospital, Children · Park Ridge, IL

NPI number1023308608
StatusActive
Last updated in NPPESApr 15, 2011

Details

NPI
1023308608
Entity type
Organization (NPI-2)
Legal business name
Advocate Lutheran General Hospital
Organization subpart
No
Enumeration date
Apr 15, 2011
Last updated
Apr 15, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
282NC2000X General Acute Care Hospital, Children––Yes

Practice location

1775 W Dempster St
8 South
Park Ridge, IL 60068-1143

Phone 847-723-8077

Mailing address

1775 W Dempster St
8 South
Park Ridge, IL 60068-1143

Phone 847-723-8077

Authorized official

Michael Mckenna
Dio Medical Education
8477237325

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