Organization
ADVOCATE ILLINOIS MASONIC MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EVELYN COTTO (RESIDENCY COORDINATOR)
(773) 296-8250
Entity
Organization
Contact information
Practice address
836 W WELLINGTON AVE, CHICAGO, IL 60657-5147
(773) 296-8250
Mailing address
836 W WELLINGTON AVE, CHICAGO, IL 60657-5147
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
125057923
IL
Other
Enumeration date
06/16/2010
Last updated
06/16/2010
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