Healthcare Provider Details

I. General information

NPI: 1023182177
Provider Name (Legal Business Name): ADVOCATE CHRIST MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4440 W 95TH ST
OAK LAWN IL
60453-2600
US

IV. Provider business mailing address

12454 MACKINAC RD
HOMER GLEN IL
60491-8408
US

V. Phone/Fax

Practice location:
  • Phone: 708-684-8000
  • Fax: 708-684-1028
Mailing address:
  • Phone: 708-301-6441
  • Fax: 708-590-6466

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number00303605724901
License Number StateIL

VIII. Authorized Official

Name: DR. BARBARA JEAN MCCREARY
Title or Position: ATTENDING PHYSICIAN
Credential: MD
Phone: 708-684-8000