Organization
ADVOCATE NORTH SIDE HEALTH NETWORK
Active
Other names
Advocate Illinois Masonic Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
KARA RICHARDSON (VP MANAGED HEALTH)
(980) 416-4068
Entity
Organization
Contact information
Practice address
836 W WELLINGTON AVE, CHICAGO, IL 60657-5147
(773) 975-1600
Mailing address
836 W WELLINGTON AVE, CHICAGO, IL 60657-5147
(773) 975-1600
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
273R00000X
IL
273Y00000X
Rehabilitation Hospital Unit
273Y00000X
IL
282N00000X
General Acute Care Hospital
Primary
282N00000X
IL
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
08/23/2006
Last updated
01/28/2026
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