# ADVOCATE MEDICAL GROUP

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

## Provider details

- **NPI number:** 1891174983
- **Authorized official:** MS. LISE HAUSER CNM (SUPERVISOR, NURSE-MIDWIFERY SERVICE)
- **Authorized official phone:** (773) 296-3098

## Contact information

- **Practice address:** 3048 N WILTON AVE, 3RD FLOOR, NURSE-MIDWIFERY SERVICE, CHICAGO, IL 60657-6710
- **Practice address phone:** (773) 296-7032
- **Practice address fax:** (773) 296-3096
- **Mailing address:** 3048 N WILTON AVE, 3RD FLOOR, NURSE-MIDWIFERY SERVICE, CHICAGO, IL 60657-6710
- **Mailing address phone:** (773) 296-7032
- **Mailing address fax:** (773) 296-3096

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 367A00000X | Advanced Practice Midwife | 209012585 | IL | Yes |

## Other

- **Enumeration date:** 05/22/2015
- **Last updated:** 05/22/2015