Organization · NPI-2

Advocate North Side Health Network

General Acute Care Hospital · Chicago, IL

NPI number1912014564
StatusActive
Last updated in NPPESJan 28, 2026

Details

NPI
1912014564
Entity type
Organization (NPI-2)
Legal business name
Advocate North Side Health Network
Organization subpart
No
Enumeration date
Aug 23, 2006
Certification date
Jan 28, 2026
Last updated
Jan 28, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
282N00000X General Acute Care Hospital282N00000XILYes
273R00000X Psychiatric Unit273R00000XIL
273Y00000X Rehabilitation Unit273Y00000XIL
291U00000X Clinical Medical Laboratory––

Other names

  • Advocate Illinois Masonic Medical Center (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

Kara Richardson
Vp Managed Health
9804164068

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