Organization
ADVOCATE ILLNOIS MASONIC MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIAN IOSIF NICA M.D. (PEDIATRIC CRITICAL CARE)
(773) 975-1600
Entity
Organization
Contact information
Practice address
836 W WELLINGTON AVE, CHICAGO, IL 60657-5147
(773) 975-1600
(773) 296-7459
Mailing address
4200 N MARINE DR, APT.303, CHICAGO, IL 60613-1743
(773) 327-8826
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
036082690
IL
Other
Enumeration date
01/02/2007
Last updated
06/16/2008
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