# RAVENSWOOD FAMILY PRACTICE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advocate Illinois Masonic Physician Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306005400
- **Authorized official:** DR. LINDA CHEN DO (RESIDENT)
- **Authorized official phone:** (630) 415-6373

## Contact information

- **Practice address:** 4600 N RAVENSWOOD AVE, 2ND FLOOR, CHICAGO, IL 60640-4510
- **Practice address phone:** (773) 561-7500
- **Practice address fax:** (773) 561-7612
- **Mailing address:** 4600 N RAVENSWOOD AVE, 2ND FLOOR, CHICAGO, IL 60640-4510
- **Mailing address phone:** (773) 561-7500
- **Mailing address fax:** (773) 561-7612

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 125053010 | IL | Yes |

## Other

- **Enumeration date:** 06/03/2008
- **Last updated:** 06/03/2008