Organization
ADVOCATE LUTHERAN GENERAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHANNON M SMITH LCSW (LCSW)
(847) 567-2184
Entity
Organization
Contact information
Practice address
1775 DEMPSTER ST, PARK RIDGE, IL 60068-1143
(847) 723-7313
(847) 723-2394
Mailing address
6141 N HOYNE AVE, UNIT 2, CHICAGO, IL 60659-4279
(847) 567-2184
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
149010478
IL
Other
Enumeration date
02/22/2007
Last updated
06/16/2008
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