Organization · NPI-2

Advocate Illinois Masonic

General Acute Care Hospital · Chicago, IL

NPI number1780815407
StatusActive
Last updated in NPPESJul 29, 2009

Details

NPI
1780815407
Entity type
Organization (NPI-2)
Legal business name
Advocate Illinois Masonic
Organization subpart
No
Enumeration date
Jul 29, 2009
Last updated
Jul 29, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
282N00000X General Acute Care Hospital125057009ILYes

Practice location

856 W Nelson St Apt 1905
Chicago, IL 60657-9204

Phone 773-313-5281

Mailing address

856 W Nelson St Apt 1905
Chicago, IL 60657-9204

Phone 773-313-5281

Authorized official

Laura Daly
House Staff Coordinator
7732965944

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