# ADVOCATE ILLINOIS MASONIC

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

## Provider details

- **NPI number:** 1780815407
- **Authorized official:** LAURA DALY (HOUSE STAFF COORDINATOR)
- **Authorized official phone:** (773) 296-5944

## Contact information

- **Practice address:** 856 W NELSON ST APT 1905, CHICAGO, IL 60657-9204
- **Practice address phone:** (773) 313-5281
- **Mailing address:** 856 W NELSON ST APT 1905, CHICAGO, IL 60657-9204
- **Mailing address phone:** (773) 313-5281

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 125057009 | IL | Yes |

## Other

- **Enumeration date:** 07/29/2009
- **Last updated:** 07/29/2009