Organization · NPI-2

Advocate Medical Group

Advanced Practice Midwife · Chicago, IL

NPI number1891174983
StatusActive
Last updated in NPPESMay 22, 2015

Details

NPI
1891174983
Entity type
Organization (NPI-2)
Legal business name
Advocate Medical Group
Organization subpart
No
Enumeration date
May 22, 2015
Last updated
May 22, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367A00000X Advanced Practice Midwife209012585ILYes

Practice location

3048 N Wilton Ave
3rd Floor, Nurse-Midwifery Service
Chicago, IL 60657-6710

Phone 773-296-7032 · Fax 773-296-3096

Mailing address

3048 N Wilton Ave
3rd Floor, Nurse-Midwifery Service
Chicago, IL 60657-6710

Phone 773-296-7032 · Fax 773-296-3096

Authorized official

Lise Hauser
Supervisor, Nurse-Midwifery Service
7732963098

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