Organization · NPI-2

Advocate Illinois Masonic Hospital

General Acute Care Hospital · Chicago, IL

NPI number1407154156
StatusActive
Last updated in NPPESMar 4, 2011

Details

NPI
1407154156
Entity type
Organization (NPI-2)
Legal business name
Advocate Illinois Masonic Hospital
Organization subpart
No
Enumeration date
Mar 4, 2011
Last updated
Mar 4, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
282N00000X General Acute Care Hospital164005250ILYes

Other names

  • Private - Self - Employeed (Doing Business As)

Practice location

836 W Wellington Ave
Chicago, IL 60657-5147

Phone 773-975-1600

Mailing address

836 W Wellington Ave
Chicago, IL 60657-5147

Phone 773-975-1600

Authorized official

Jaclyn Sprague
Manager Nutrition Services
7732965194

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other General Acute Care Hospital providers in Chicago, IL