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Organization

ADVOCATE ILLINOIS MASONIC MEDICAL CENTER

Active
Parent organization
ADVOCATE HEALTH CARE
Organization subpart
Yes

Provider details

NPI number
Legal business name
ADVOCATE HEALTH CARE
Authorized official
DR. TERESA RAMOS M.D., (RESIDENCY PROGRAM DIRECTOR)
(773) 296-7046
Entity
Organization

Contact information

Practice address
3048 N WILTON AVE, 2ND FLOOR, CHICAGO, IL 60657-6710
(773) 296-5424
Mailing address
836 W WELLINGTON AVE, ROOM 7403, CHICAGO, IL 60657-5147
(773) 296-7635

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125054285
IL

Other

Enumeration date
08/07/2008
Last updated
08/27/2008
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