# ADVOCATE MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063585859
- **Authorized official:** DR. PHILLIP L WERNER M.D. (CHAIRMAN)
- **Authorized official phone:** (847) 318-2400

## Contact information

- **Practice address:** 1775 BALLARD RD, PARK RIDGE, IL 60068-1005
- **Practice address phone:** (847) 318-2400
- **Practice address fax:** (847) 318-2414
- **Mailing address:** 1775 BALLARD RD, PARK RIDGE, IL 60068-1005
- **Mailing address phone:** (847) 318-2400
- **Mailing address fax:** (847) 318-2414

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | IL | Yes |

## Other

- **Enumeration date:** 11/17/2006
- **Last updated:** 08/22/2020