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Organization

ADVOCATE MEDICAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LISE HAUSER CNM (SUPERVISOR, NURSE-MIDWIFERY SERVICE)
(773) 296-3098
Entity
Organization

Contact information

Practice address
3048 N WILTON AVE, 3RD FLOOR, NURSE-MIDWIFERY SERVICE, CHICAGO, IL 60657-6710
(773) 296-7032
(773) 296-3096
Mailing address
3048 N WILTON AVE, 3RD FLOOR, NURSE-MIDWIFERY SERVICE, CHICAGO, IL 60657-6710
(773) 296-7032
(773) 296-3096

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
209012585
IL

Other

Enumeration date
05/22/2015
Last updated
05/22/2015
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