Organization
ADVOCATE ILLINOIS MASONIC MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA KING RN (CLINICAL OPERATIONS AND CHIEF NURSI)
(773) 296-7001
Entity
Organization
Contact information
Practice address
3632 WIRTH RD, HIGHLAND, IN 46322-2218
(219) 923-1263
Mailing address
3632 WIRTH RD, HIGHLAND, IN 46322-2218
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
041.247086
IL
Other
Enumeration date
12/16/2008
Last updated
12/16/2008
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