Healthcare Provider Details

I. General information

NPI: 1295066975
Provider Name (Legal Business Name): ADVOCATE HEALTH AND HOSPITALS CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2010
Last Update Date: 01/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 FRANKLIN AVE SUITE 380
NORMAL IL
61761-3592
US

IV. Provider business mailing address

2311 W 22ND ST SUITE 202
OAK BROOK IL
60523-1225
US

V. Phone/Fax

Practice location:
  • Phone: 309-268-3642
  • Fax: 309-268-3649
Mailing address:
  • Phone: 630-320-1090
  • Fax: 630-320-1231

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. STEPHEN R VOSS
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 630-320-1090