Healthcare Provider Details
I. General information
NPI: 1003542184
Provider Name (Legal Business Name): ADVOCATE HEALTH AND HOSPITALS CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/29/2022
Last Update Date: 09/25/2025
Certification Date: 09/25/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2285 SEQUOIA DR
AURORA IL
60506-6209
US
IV. Provider business mailing address
28594 NETWORK PL
CHICAGO IL
60673-1285
US
V. Phone/Fax
- Phone: 630-859-6700
- Fax:
- Phone: 847-390-5900
- Fax: 847-390-5450
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM1300X |
| Taxonomy | Multi-Specialty Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KARA
RICHARDSON
Title or Position: VP MANAGED HEALTH
Credential:
Phone: 704-631-0450