Advocate Illinois Masonic

LBN: Advocate Illinois Masonic
Advocate Illinois Masonic is an health care organization with primary practice located at 836 W Wellington Ave Family Practice, Chicago IL 60657-5147. The organization recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as the primary health care specialty. Advocate Illinois Masonic can be contacted via phone (773) 296-8250, or through Cotto, Evelyn via phone (773) 296-8250.

Contact Information

Primary practice address
836 W Wellington Ave Family Practice Chicago IL 60657-5147
Phone: (773) 296-8250
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cotto, Evelyn
Phone: (773) 296-8250

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1376700732
LBN Legal business name Advocate Illinois Masonic
DBA Doing business as
Authorized official Cotto, Evelyn
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2008
Last updated May 21st, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers