Organization
ADVOCATE LUTHERAN GENERAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA ELAINE OSBORN LCSW, CADC (LCSW, CADC)
(847) 723-7315
Entity
Organization
Contact information
Practice address
1775 DEMPSTER ST, PARK RIDGE, IL 60068-1143
(847) 723-7315
(847) 723-2394
Mailing address
1855 PARKSIDE DR, #3, PARK RIDGE, IL 60068-1068
(847) 297-0823
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
149010267
IL
282N00000X
General Acute Care Hospital
Primary
21129
IL
Other
Enumeration date
02/22/2007
Last updated
06/16/2008
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