ADVOCATE LUTHERAN GENERAL HOSPITAL (NPI# 1689776783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689776783 |
| Entity Type | Organization |
| Organization Name | ADVOCATE LUTHERAN GENERAL HOSPITAL |
| Practice Address |
1700 Luther Ln Park Ridge IL 60068-1270 |
| Practice Telephone | 8477237758 |
| Practice Fax Number | 8477238521 |
| Mailing Telephone | 8477237758 |
| Mailing Fax Number | 8477238521 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JAMES ROBERT DOLAN (DIRECTOR GYNECOLOGIC ONCOLOGY) |
| Authorized Official Telephone | 8477237758 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023308608 | Advocate Lutheran General Hospital | General Acute Care Hospital | 1775 W Dempster St, 8 South, Park Ridge, IL 60068-1143 | 2011-04-15 |
| 1528388634 | Advocate Lutheran General Hospital | General Acute Care Hospital | 1775 W Dempster St, 8 South, Park Ridge, IL 60068-1143 | 2010-06-11 |
| 1497982037 | Advocate Lutheran General Hospital | Clinic/Center | 1775 Dempster St, Park Ridge, IL 60068-1143 | 2009-06-22 |
| 1699927186 | Advocate Lutheran General Hospital | General Acute Care Hospital | 1775 Dempster St, Park Ridge, IL 60068-1143 | 2008-10-16 |
| 1619002284 | Advocate Lutheran General Hospital | General Acute Care Hospital | 1775 Dempster St, Park Ridge, IL 60068-1143 | 2007-02-22 |
| Street Address |
1700 LUTHER LN |
| City | PARK RIDGE |
| State | IL |
| Zip Code | 60068-1270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043201072 | Tanya M Powell | Radiology | 1700 Luther Ln, Park Ridge, IL 60068-1270 | 2005-10-31 |
| 1528523057 | Justin Wing Hang Lee | Physician Assistant | 1700 Luther Ln, Park Ridge, IL 60068-1270 | 2019-02-08 |
| 1194110668 | Joanna Pienkowski Polk | Social Worker | 1700 Luther Ln, Suite 1110, Park Ridge, IL 60068-1270 | 2015-04-01 |
| 1831488741 | Shams Bakhos Bufalino | Internal Medicine | 1700 Luther Ln, Park Ridge, IL 60068-1270 | 2011-03-31 |
| 1093029217 | A2cl Services, LLC | Clinical Medical Laboratory | 1700 Luther Ln, Suite 1260, Park Ridge, IL 60068-1270 | 2010-07-29 |
| 1598911505 | Michael Vercillo | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1700 Luther Ln, Suite 1110, Park Ridge, IL 60068-1270 | 2008-08-10 |
| 1962667808 | Heather E Leeper | Psychiatry & Neurology | 1700 Luther Ln, Ste 1110, Park Ridge, IL 60068-1270 | 2008-07-21 |
| 1548442007 | Edward Samuel James | Internal Medicine | 1700 Luther Ln, Suite 2200, Park Ridge, IL 60068-1270 | 2007-11-27 |
| 1689794968 | Oncology Specialists, Sc | Internal Medicine | 1700 Luther Ln, Park Ridge, IL 60068-1270 | 2007-03-30 |
| 1891824314 | Mary Susan Warsey | Pharmacist | 1700 Luther Ln, Park Ridge, IL 60068-1270 | 2007-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861010720 | Caitlin Marie Kompanowski | Dentist | 412 W. Talcott, Park Ridge, IL 60068 | 2020-07-08 |
| 1972142198 | Center for Authentic Living, Inc. | Counselor | 120 Main Street Suite 200, Park Ridge, IL 60068 | 2020-01-06 |
| 1306312152 | Maryann Almores Devilla | Physical Medicine & Rehabilitation | Sunrise Assisted Living, 1725 Ballard Road, Park Ridge, IL 60068 | 2018-10-19 |
| 1053808857 | Landon Ginsberg | Student in an Organized Health Care Education/Training Program | 1775 Ballard, Park Ridge, IL 60068 | 2018-04-17 |
| 1255828448 | Vera W Brink | Obstetrics & Gynecology | Parkside Professional Center, 1875 Dempster St., Ste. 330, Park Ridge, IL 60068 | 2018-04-13 |
| 1205367448 | Courtney Heim | Psychiatry & Neurology | 1875 W.dempster Street - Park Side Professional Center, Ste 470, Park Ridge, IL 60068 | 2017-03-21 |
| 1720521362 | Alexander Mylonas | Psychologist | 1400 Renaissance Dr Ste 401, Park Ridge, IL 60068 | 2016-11-30 |
| 1376090878 | Rebecca Rajasekhar | Audiologist | 1030 W. Higgins Rd., Audiology Room 6, Park Ridge, IL 60068 | 2016-09-01 |
| 1164818449 | Mohammad Taha Mustaf Taha Mustafa Sheikh | Student in an Organized Health Care Education/Training Program | 1550 North Northwest Highway Suite 107, L.m. Prasad, Md, Sc, Park Ridge, IL 60068 | 2015-04-13 |
| 1518397918 | Megan Roberts | Speech-Language Pathologist | 2240 Campus Dr., Evanston, IL 60068 | 2013-11-21 |
| Find all providers in zip 60068 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649242736 | Addie Alkhas | Obstetrics & Gynecology | 1875 Dempster St Ste 210, Park Ridge, IL 60068-1126 | 2006-02-03 |
| 1013017946 | James R. Dolan | Obstetrics & Gynecology | 1700 Luther Ln, Park Ridge, IL 60068-1270 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174910657 | Allison Margaret Saiz | Obstetrics & Gynecology | 250 E Superior St Ste 5-2175, Chicago, IL 60611-2914 | 2015-04-22 |
| 1053677005 | Carrie Allison Mcilwain | Obstetrics & Gynecology | 6700 W 95th St Ste 330, Oak Lawn, IL 60453-2416 | 2012-04-04 |
| 1891094546 | Joseph P Bonanno | Obstetrics & Gynecology | 1010 Dixie Hwy Ste 313, Chicago Heights, IL 60411-2666 | 2011-03-21 |
| 1841457975 | Assaad Youssef Semaan | Obstetrics & Gynecology | 800 Biesterfield Rd Ste 302, Elk Grove Village, IL 60007-3378 | 2008-05-16 |
| 1598975336 | Nikki Lynn Neubauer | Obstetrics & Gynecology | 6700 West 95th Street, Suite 330, Oak Lawn, IL 60453-2199 | 2007-05-23 |
| 1124126040 | Arthur Herbst | Obstetrics & Gynecology | 5841 South Maryland Mc 2050, Chicago, IL 60657 | 2006-09-21 |
| 1922037787 | Michael Patrick Lowe | Obstetrics & Gynecology | 6700 W 95th St, Suite 330, Oak Lawn, IL 60453-2199 | 2006-07-02 |
| 1134197833 | Kennth Alan Hodel | Obstetrics & Gynecology | 6915 N Knoxville Ave, Suite 1, Peoria, IL 61614-2851 | 2006-03-09 |
| 1003806514 | Ronald E Kimball | Obstetrics & Gynecology | 509 W University Ave, Urbana, IL 61801-1645 | 2005-10-26 |
| 1700876307 | Barbara Buttin | Obstetrics & Gynecology | 25 N. Winfield Rd., Winfield, IL 60190-1295 | 2005-10-25 |
| Find all providers with the same taxonomy | ||||
| City | PARK RIDGE |
| Zip Code | 60068 |
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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.