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Organization
ADVOCATE ILLINOIS MASONIC MEDICAL CENTER
Active
Organization
ADVOCATE ILLINOIS MASONIC MEDICAL CENTER
Active
Parent organization
ADVOCATE HEALTH CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVOCATE HEALTH CARE
Authorized official
TERESA RAMOS M.D. (RESIDENCY PROGRAM DIRECTOR)
(773) 296-5424
Entity
Organization
Contact information
Practice address
3048 N WILTON AVE, CHICAGO, IL 60657
(773) 296-5424
Mailing address
836 W WELLINGTON AVE, CHICAGO, IL 60657
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125-053509
IL
Other
Enumeration date
04/29/2008
Last updated
04/30/2008
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