Organization · NPI-2

Advocate North Side Health Network

Psychiatric Unit · Chicago, IL

NPI number1639657414
StatusActive
Last updated in NPPESJan 28, 2026

Details

NPI
1639657414
Entity type
Organization (NPI-2)
Legal business name
Advocate North Side Health Network
Organization subpart
No
Enumeration date
Aug 2, 2018
Certification date
Jan 28, 2026
Last updated
Jan 28, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
273R00000X Psychiatric Unit0005165ILYes

Other names

  • Advocate Illinois Masonic Medical Center Psych Unit (Other Name)

Practice location

836 W Wellington Ave.
Chicago, IL 60657

Phone 773-975-1600

Mailing address

836 W Wellington Ave
Chicago, IL 60657-5147

Phone 773-975-1600

Authorized official

Kara Richardson
Vp Managed Health
9804164068

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