# ADVOCATE LUTHERAN GENERAL HOSPITAL

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

## Provider details

- **NPI number:** 1619002284
- **Authorized official:** MS. SHANNON M SMITH LCSW (LCSW)
- **Authorized official phone:** (847) 567-2184

## Contact information

- **Practice address:** 1775 DEMPSTER ST, PARK RIDGE, IL 60068-1143
- **Practice address phone:** (847) 723-7313
- **Practice address fax:** (847) 723-2394
- **Mailing address:** 6141 N HOYNE AVE, UNIT 2, CHICAGO, IL 60659-4279
- **Mailing address phone:** (847) 567-2184

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 149010478 | IL | Yes |

## Other

- **Enumeration date:** 02/22/2007
- **Last updated:** 06/16/2008