Healthcare Provider Details

I. General information

NPI: 1720169097
Provider Name (Legal Business Name): ADVOCATE OCCUPATIONAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 W TOUHY AVE SUITE 104
PARK RIDGE IL
60068-4256
US

IV. Provider business mailing address

205 W TOUHY AVE SUITE 100
PARK RIDGE IL
60068-4256
US

V. Phone/Fax

Practice location:
  • Phone: 847-384-3726
  • Fax: 847-698-4486
Mailing address:
  • Phone: 847-384-3726
  • Fax: 847-698-4486

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0500X
TaxonomyPreventive Medicine/Occupational Environmental Medicine Physician
License Number
License Number StateIL

VIII. Authorized Official

Name: MS. SHARON GERC
Title or Position: VP OF OCCUPATIONAL HEALTH
Credential: MS, RN, NHA, COHN-S
Phone: 847-384-3582