Healthcare Provider Details

I. General information

NPI: 1952213050
Provider Name (Legal Business Name): ADVOCATE ASC CHICAGO WEBSTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1435 W WEBSTER AVE
CHICAGO IL
60614-3049
US

IV. Provider business mailing address

28602 NETWORK PL
CHICAGO IL
60673-1286
US

V. Phone/Fax

Practice location:
  • Phone: 773-356-7733
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KARA RICHARDSON
Title or Position: VP MANAGED HEALTH
Credential:
Phone: 980-416-4068