Healthcare Provider Details

I. General information

NPI: 1356449383
Provider Name (Legal Business Name): ADVOCATE MEDICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 LEE ST SUITE 100
DES PLAINES IL
60016-4539
US

IV. Provider business mailing address

701 LEE ST SUITE 100
DES PLAINES IL
60016-4539
US

V. Phone/Fax

Practice location:
  • Phone: 847-795-2842
  • Fax: 847-795-2847
Mailing address:
  • Phone: 847-795-2842
  • Fax: 847-795-2847

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number1916
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateIL

VIII. Authorized Official

Name: MS. CAROLE EILEEN HOFFMAN
Title or Position: SENIOR CASE MANAGER
Credential: M.S.W., C.S.A.D.C.
Phone: 847-795-2842