MEDICARE: ADVOCATE HEALTH AND HOSPITALS CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251300000X	Local Education Agency (LEA)

General Provider Information

NPI Number	:	1053731588
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVOCATE HEALTH AND HOSPITALS CORPORATION

Provider Business Mailing Address
First Line	:	701 LEE ST
Second Line	:	SUITE 300
City	:	DES PLAINES
State	:	IL
Zip	:	60016-4539
Country	:	US
Telephone Number	:	847-795-3563
Fax Number	:

Provider Business Practice Location Address
First Line	:	6631 N BOSWORTH AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60626-4223
Country	:	US
Telephone Number	:	773-534-2000
Fax Number	:

Authorized Official
Title or Position	:	V.P. BUS. SYSTEMS & FINANCE OP
Name	:	IAN STEWART
Credential	:
Telephone Number	:	847-390-5453

Provider Enumeration Date	:	04/23/2014
Last Update Date	:	04/23/2014

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