Organization
BROMENN PHYSICIANS MANAGEMENT CORPORATION
Active
Organization
BROMENN PHYSICIANS MANAGEMENT CORPORATION
Active
Parent organization
ADVOCATE HEALTH AND HOSPITALS CORPORATION
Other names
Advocate Medical Group IHLA
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVOCATE HEALTH AND HOSPITALS CORPORATION
Authorized official
IAN STEWART (VP BUS SYS, FINANCE, OPS)
(847) 390-5453
Entity
Organization
Contact information
Practice address
1302 FRANKLIN AVE, SUITE 4500, NORMAL, IL 61761-3551
(309) 828-1166
(309) 862-0330
Mailing address
701 LEE ST, SUITE 300, DES PLAINES, IL 60016-4539
(847) 390-5900
(847) 390-5922
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
12/29/2011
Last updated
12/29/2011
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