Organization
ADVOCATE ILLINOIS MASONIC MEDICAL CENTER
Active
Parent organization
ADVOCATE HEALTHCARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVOCATE HEALTHCARE
Authorized official
DR. TERESA RAMOS (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
(773) 296-5280
Mailing address
836 W WELLINGTON AVE, ROOM 7403, CHICAGO, IL 60657-5147
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125053624
IL
Other
Enumeration date
05/02/2008
Last updated
12/05/2008
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