Organization · NPI-2

Advocate Lutheran General

General Acute Care Hospital · Park Ridge, IL

NPI number1386779031
StatusActive
Last updated in NPPESJun 16, 2008

Details

NPI
1386779031
Entity type
Organization (NPI-2)
Legal business name
Advocate Lutheran General
Organization subpart
No
Enumeration date
Feb 22, 2007
Last updated
Jun 16, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
282N00000X General Acute Care Hospital21129ILYes
282N00000X General Acute Care Hospital149010267IL

Practice location

1775 Dempster St
Park Ridge, IL 60068-1143

Phone 847-723-7315 · Fax 847-723-2394

Mailing address

1855 Parkside Dr
#3
Park Ridge, IL 60068-1068

Phone 847-297-0823

Authorized official

Lisa Elaine Osborn
Lcsw, Cadc
8477237315

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