ADVOCATE ILLINOIS MASONIC MEDICAL CENTER (NPI# 1881915585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881915585 |
| Entity Type | Organization |
| Organization Name | ADVOCATE ILLINOIS MASONIC MEDICAL CENTER |
| Practice Address |
836 W Wellington Ave Chicago IL 60657-5147 |
| Practice Telephone | 7732968250 |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2010-06-16 |
| Authorized Official Name | MS. EVELYN COTTO (RESIDENCY COORDINATOR) |
| Authorized Official Telephone | 7732968250 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 125057923 | IL | Hospitals |
| 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 |
| 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 |
| 1508021098 | Advocate Illinois Masonic Medical Center | Internal Medicine | 836 W Wellington, Chicago, IL 60657 | 2008-07-23 |
| 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 |
| Street Address |
836 W WELLINGTON AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60657-5147 |
| 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 |
| Find all providers in zip 60657 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801337506 | University of Chicago Medical Center | General Acute Care Hospital | 1122 Paysphere Cir, Chicago, IL 60674-0011 | 2017-03-14 |
| 1336598937 | Daniel Benjamin Holt Jr. | General Acute Care Hospital | 2448 N Seminary Ave, Apt 2b, Chicago, IL 60614-7445 | 2016-06-06 |
| 1841650942 | Latoyia Roman | General Acute Care Hospital | 6756 S Oglesby Ave, Unit 1, Chicago, IL 60649-1316 | 2016-03-02 |
| 1306203583 | Rush University Medical Center | General Acute Care Hospital | 4536 N Greenview Ave Apt 2n, Chicago, IL 60640-5475 | 2016-01-19 |
| 1144694639 | Danielle Marie Valentino | General Acute Care Hospital | 5841 S Maryland Ave # Mc6065, Chicago, IL 60637-1443 | 2015-11-20 |
| 1467830745 | Mcgaw Medical Center of Nu | General Acute Care Hospital | 737 N Michigan Ave, Ste 1600 Nmh, Cardiovascular Imaging, Chicago, IL 60611 | 2015-05-07 |
| 1467846022 | Andres Maldonad | General Acute Care Hospital | 6019 S Ingleside Ave, Apartment 902, Chicago, IL 60637-2600 | 2015-03-22 |
| 1093117921 | Sj Termini, Dds PC | General Acute Care Hospital | 1074 W Taylor St # 207, Chicago, IL 60607-4336 | 2014-09-23 |
| 1982014841 | None | General Acute Care Hospital | 2323 W 114th St, Chicago, IL 60643-4108 | 2014-04-30 |
| 1770905804 | Esad Zisko | General Acute Care Hospital | 2441 W Farragut Ave Apt 3b, Chicago, IL 60625-2477 | 2014-01-08 |
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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.