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General NPI Number Information
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NPI Number | 1245193341
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Entity Type | Organization
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Legal Business Name | ADVOCATE HEALTH AND HOSPITALS CORPORATION
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 639 BLACKHAWK DR
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City | WESTMONT
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State | IL
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Zip | 60559-1115
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Country | US
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Telephone | 630-264-8720
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Fax |
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Provider Business Mailing Address
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Address Line | 29373 NETWORK PL
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City | CHICAGO
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State | IL
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Zip | 60673-1293
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP MANAGED HEALTH
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Name | KARA RICHARDSON
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Credential |
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Telephone | 704-631-0450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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