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General NPI Number Information
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NPI Number | 1841013331
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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 | 11/04/2024
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 27655 ILLINOIS ROUTE 120, RM 1102
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City | LAKEMOOR
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State | IL
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Zip | 60051
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Country | US
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Telephone | 815-458-1520
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 208
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City | SHEBOYGAN
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State | WI
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Zip | 53082-0208
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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 | 980-416-4068
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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