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NPI Code Detail

MEDICARE: ADVOCATE HEALTH AND HOSPITALS CORPORATION

MEDICARE: ADVOCATE HEALTH AND HOSPITALS CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM1300XMulti-Specialty Clinic/Center

General Provider Information

NPI Number : 1871364703
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVOCATE HEALTH AND HOSPITALS CORPORATION
Provider Business Mailing Address
First Line : 29373 NETWORK PL
Second Line :
City : CHICAGO
State : IL
Zip : 60673-1293
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4600 N RAVENSWOOD AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60640-4510
Country : US
Telephone Number : 847-384-3550
Fax Number :
Authorized Official
Title or Position : VP MANAGED HEALTH
Name : KARA RICHARDSON
Credential :
Telephone Number : 980-416-4068
Provider Enumeration Date : 01/10/2024
Last Update Date : 01/28/2026

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