Organization
ADVOCATE HEALTH CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL P. SCHMIDT (PRESIDENT)
(312) 842-7117
Entity
Organization
Contact information
Practice address
2545 S KING DR, CHICAGO, IL 60616-2441
(312) 842-7117
(312) 326-2102
Mailing address
2311 W 22ND ST, SUITE 202, OAK BROOK, IL 60523-1225
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1633717
BCBS HMOI PROVIDER #
IL
01
—
215289
MEDICARE LOC.15 GROUP #
IL
01
—
21621975
BCBS PROVIDER ID #
IL
01
—
DA1606
MEDICARE RAILROAD GROUP #
IL
Enumeration date
06/12/2006
Last updated
11/01/2007
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