Advocate Illinois Masonic Medical Center
General Acute Care Hospital in Chicago, IL. Organization (NPI-2).
NPI number1881915585
StatusActive
Last updated in NPPESJun 16, 2010
Details
- NPI
- 1881915585
- Entity type
- Organization (NPI-2)
- Legal business name
- Advocate Illinois Masonic Medical Center
- Organization subpart
- No
- Enumeration date
- Jun 16, 2010
- Last updated
- Jun 16, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 282N00000X | General Acute Care Hospital | 125057923 | IL | Yes |
Practice location
836 W Wellington AveChicago, IL 60657-5147
Phone 773-296-8250
Mailing address
836 W Wellington AveChicago, IL 60657-5147
Authorized official
Evelyn Cotto
Residency Coordinator
7732968250
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