ADVOCATE NORTH SIDE HEALTH NETWORK (NPI# 1134607005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134607005 |
Entity Type | Organization |
Organization Name | ADVOCATE NORTH SIDE HEALTH NETWORK |
Other Organization Name | ADVOCATE ILLINOIS MASONIC MEDICAL CENTER REHAB UNIT |
Practice Address |
836 W Wellington Ave Chicago IL 60657 |
Mailing Address |
836 W Wellington Ave Chicago IL 60657-5147 |
Practice Telephone | 6306452317 |
Mailing Telephone | 7739751600 |
Enumeration Date | 2018-08-02 |
Last Update Date | 2018-09-12 |
Authorized Official Name | SUSAN N. LOPEZ (PRESIDENT) |
Authorized Official Telephone | 7732967081 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 273Y00000X | Rehabilitation Unit | 0005165 | IL | Hospital Units |
Other Name | Type Code |
---|---|
Advocate Illinois Masonic Medical Center Rehab Unit | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639657414 | Advocate North Side Health Network | Psychiatric Unit | 836 W Wellington Ave., Chicago, IL 60657 | 2018-08-02 |
1689886889 | Advocate North Side Health Network | Local Education Agency (LEA) | 5110 N Damen Ave, Chicago, IL 60625-1317 | 2007-05-03 |
1821203621 | Advocate North Side Health Network | Local Education Agency (LEA) | 4015 N Ashland Ave, Chicago, IL 60613-2593 | 2007-05-14 |
1780788323 | Advocate North Side Health Network | Clinic/Center | 836 W Wellington Ave, Chicago, IL 60657-5147 | 2006-09-12 |
1912014564 | Advocate North Side Health Network | Rehabilitation Unit | 836 W Wellington Ave, Chicago, IL 60657-5147 | 2006-08-23 |
Street Address |
836 W WELLINGTON AVE |
City | CHICAGO |
State | IL |
Zip Code | 60657 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073596904 | William Norman Werner | Internal Medicine | 836 W Wellington Ave, Chicago, IL 60657-5147 | 2005-11-23 |
1124629605 | Haroon Ali | Student in an Organized Health Care Education/Training Program | 836 W Wellington Ave, Chicago, IL 60657-5147 | 2020-11-03 |
1700491032 | Ahmed Mostafa | Surgery | 836 W Wellington Ave, Chicago, IL 60657-5147 | 2020-09-14 |
1598379604 | Natalie Merrick | Social Worker | 836 W Wellington Ave, Chicago, IL 60657-5147 | 2020-09-04 |
1184235392 | Pooja Singh | Internal Medicine | 836 W Wellington Ave, Chicago, IL 60657-5147 | 2020-08-11 |
1528677135 | Oubada Alkowatli | Student in an Organized Health Care Education/Training Program | 836 W Wellington Ave, Chicago, IL 60657-5147 | 2020-07-29 |
1841809571 | Saumya Agrawal | Student in an Organized Health Care Education/Training Program | 836 W Wellington Ave, Chicago, IL 60657-5147 | 2020-07-29 |
1376152900 | Abdelgalil Mukhtar | Student in an Organized Health Care Education/Training Program | 836 W Wellington Ave, Chicago, IL 60657-5147 | 2020-07-29 |
1962010603 | Jamie Berray | Dietitian, Registered | 836 W Wellington Ave, Chicago, IL 60657-5147 | 2020-07-20 |
1942818620 | Ali Doruk Yalcintepe | Student in an Organized Health Care Education/Training Program | 836 W Wellington Ave, Chicago, IL 60657-5147 | 2020-07-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992303887 | Simone Paes | Behavior Technician | 3141 N Sheffield Ave, Chicago, IL 60657 | 2020-10-13 |
1821613175 | Samridhi Khatri | Internal Medicine | 836 W. Wellington Ave, Advocate Illinois Masonic Medica, Suite 1312, Chigaco, IL 60657 | 2020-06-12 |
1467074617 | Dewolfe Aesthetic Services Sc | Surgery | 3357 N. Southport Aveune, Chicago, IL 60657 | 2020-05-11 |
1790304657 | Mehr Amer Mjeed | Student in an Organized Health Care Education/Training Program | Advocate Internal Medicine Clinic, Advocate Illinois Ma, 836 West Wellington Avenue, Chicago, IL 60657 | 2020-04-10 |
1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
1306493408 | Art of Sight Eyecare, LLC | Optometrist | 2915 N. Broadway, Chicago, IL 60657 | 2019-08-22 |
1992359277 | Joseph Michael Rochford IIi | Counselor | 1358 W Belmont Ave, Unit # 202, Chicago, IL 60657 | 2019-07-25 |
1487116240 | Conrad Petersen Dermatology Sc | Dermatology | 2845 N Sheridan, Chicago, IL 60657 | 2019-04-02 |
1003388810 | Evolve Wellness S.c. | Counselor | 2845 North Sheridan Road, Suite 708, Chicago, IL 60657 | 2018-12-19 |
1639657414 | Advocate North Side Health Network | Psychiatric Unit | 836 W Wellington Ave., Chicago, IL 60657 | 2018-08-02 |
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Taxonomy Code | 273Y00000X |
Grouping | Hospital Units |
Classification | Rehabilitation Unit |
In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
Notes: Source: Code of Federal Regulations #42, Section 412.29. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780686758 | Merit Lincoln Park LLC | Rehabilitation Unit | 550 W Webster Ave, Chicago, IL 60614-3965 | 2005-08-10 |
1316413313 | Pipeline - Weiss Memorial Hospital, LLC | Rehabilitation Unit | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2018-10-17 |
1093258246 | John H Stroger Hospital of Cook County | Rehabilitation Unit | 2800 S California Ave, Chicago, IL 60608 | 2016-11-21 |
1942563879 | Rehabilitation of Chicago | Rehabilitation Unit | 345 E Superior St, Chicago, IL 60611-2654 | 2012-06-15 |
1952420408 | Rush University Medical Center | Rehabilitation Unit | 1725 W Harrison St, Suite 1006, Chicago, IL 60612-3841 | 2007-03-28 |
1942354642 | Presence Chicago Hospitals Network | Rehabilitation Unit | 1127 N Oakley Blvd, 4th Floor, Chicago, IL 60622-3507 | 2007-01-22 |
1629140934 | Holy Cross Hospital | Rehabilitation Unit | 2701 W 68th St, Chicago, IL 60629-1813 | 2006-11-14 |
1184703019 | Presence Chicago Hospitals Network | Rehabilitation Unit | 1127 N Oakley Blvd, 4th Floor, Chicago, IL 60622-3507 | 2006-11-02 |
1396832622 | Presence Chicago Hospitals Network | Rehabilitation Unit | 7435 W Talcott Ave, Chicago, IL 60631-3707 | 2006-10-06 |
1851495899 | Rush University Medical Center | Rehabilitation Unit | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2006-09-11 |
Find all providers in CHICAGO |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.