# ADVOCATE MEDICAL GROUP

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

## Provider details

- **NPI number:** 1598019051
- **Authorized official:** DR. LORI OSBORNE PH.D. (COORDINATOR, MANAGER)
- **Authorized official phone:** (773) 296-7688

## Contact information

- **Practice address:** 3040 N WILTON AVE, 2ND FLOOR, CHICAGO, IL 60657-4424
- **Practice address phone:** (773) 296-5603
- **Mailing address:** 3040 N WILTON AVE, 2ND FLOOR, CHICAGO, IL 60657-4424

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 283XC2000X | Children's Rehabilitation Hospital | 071008251 | IL | Yes |

## Other

- **Enumeration date:** 11/06/2012
- **Last updated:** 11/06/2012
