ADVOCATE ILLINOIS MASONIC MEDICAL CENTER


Address: 836 W Wellington, Chicago, IL 60657
Phone: 7739751600

ADVOCATE ILLINOIS MASONIC MEDICAL CENTER (NPI# 1508021098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508021098
Entity Type Organization
Organization Name ADVOCATE ILLINOIS MASONIC MEDICAL CENTER
Practice Address 836 W Wellington
Chicago
IL 60657
Mailing Address 836 West Wellington
Room 7403
Chicago
IL 60657
Practice Telephone 7739751600
Practice Fax Number 7732967486
Enumeration Date 2008-07-23
Last Update Date 2008-07-23
Authorized Official Name DR. TERESA RAMOS (RESIDENCY PROGRAM DIRECTOR)
Authorized Official Telephone 7732967046
Authorized Official Credential M.D.
Is Organization Subpart Y
Parent Organization Name ADVOCATE HEALTH CARE

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 125-054691 IL Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1104062462 Advocate Illinois Masonic Medical Center General Acute Care Hospital 3632 Wirth Rd, Highland, IN 46322-2218 2008-12-16
1881915585 Advocate Illinois Masonic Medical Center General Acute Care Hospital 836 W Wellington Ave, Chicago, IL 60657-5147 2010-06-16
1558510388 Advocate Illinois Masonic Medical Center Internal Medicine 836 W Wellington Ave, Chicago, IL 60657-5147 2008-09-17
1558517714 Advocate Illinois Masonic Medical Center Internal Medicine 3048 N Wilton Ave, 2nd Floor, Chicago, IL 60657-6710 2008-08-07
1750537916 Advocate Illinois Masonic Medical Center Internal Medicine 3048 N Wilton Ave, 2nd Floor, Chicago, IL 60657-6710 2008-08-07
1114189255 Advocate Illinois Masonic Medical Center Internal Medicine 3048 N Wilton Ave Fl 2, Chicago, IL 60657-6710 2008-06-30
1316114937 Advocate Illinois Masonic Medical Center Internal Medicine 836 W Wellington Ave, Room 7403, Chicago, IL 60657-5147 2008-05-13
1881861490 Advocate Illinois Masonic Medical Center Internal Medicine 836 W Wellington Ave, Chicago, IL 60657-5147 2008-05-13
1063688786 Advocate Illinois Masonic Medical Center Internal Medicine 3048 N Wilton Ave Fl 2, Chicago, IL 60657-6710 2008-05-02
1326214040 Advocate Illinois Masonic Medical Center Internal Medicine 3048 N Wilton Ave, 2nd Floor, Chicago, IL 60657-6710 2008-05-02

Office Location

Street Address 836 W WELLINGTON
City CHICAGO
State IL
Zip Code 60657

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134207111 Northside Neonatal and Infant Care Sc Pediatrics 836 W Wellington, Chicago, IL 60657 2006-11-01

Providers in the same zip code

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
Find all providers in zip 60657

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922606193 Thatiana Carolina Schulze Goni Internal Medicine 5924 N Lincoln Ave Apt 205, Chicago, IL 60659-3736 2020-10-11
1750995742 Eva Bartaula Internal Medicine 1500 S Fairfield Ave # 3, Chicago, IL 60608-1782 2020-09-07
1750994513 Ranjit Babu Jasaraj Internal Medicine 1500 S Fairfield Ave # F-914, Chicago, IL 60608-1782 2020-08-30
1871106005 Vijay Ketan Reddy Internal Medicine 1500 S Fairfield Ave Dept Roomf914, Chicago, IL 60608-1782 2020-08-27
1144839739 Sandhya Shri Kannayiram Internal Medicine 1901w Harrison Street, Chicago, IL 60612 2020-07-29
1871119172 Irina Komissarova Internal Medicine 916 S Oakley Blvd, Chicago, IL 60612-4230 2020-06-22
1336760719 Arslan Zahid Internal Medicine 5847 S Maryland Ave, Chicago, IL 60637-1463 2020-04-27
1104447572 Nirmal Desai Internal Medicine 5841 S Maryland Ave., M/c 7082, Chicago, IL 60637-1443 2020-04-27
1467072447 Justin Edmond Sipiora Internal Medicine 5841 S. Maryland Ave Mc 7082, Chicago, IL 60637-1443 2020-04-20
1003449612 Eoht LLC Internal Medicine 1718 W North Shore Ave Apt 11, Chicago, IL 60626-4030 2020-02-21
Find all providers in CHICAGO

Competitor

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City CHICAGO
Zip Code 60657

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Dataset Information

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.

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