MEDICARE: ADVOCATE HEALTH CARE

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	261QX0100X	Occupational Medicine Clinic/Center		IL

General Provider Information

NPI Number	:	1427241934
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVOCATE HEALTH CARE

Provider Business Mailing Address
First Line	:	205 W TOUHY AVE
Second Line	:
City	:	PARK RIDGE
State	:	IL
Zip	:	60068-4256
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	18210 LA GRANGE RD
Second Line	:
City	:	TINLEY PARK
State	:	IL
Zip	:	60487-7722
Country	:	US
Telephone Number	:	708-478-3960
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MS. SHARON GREC
Credential	:
Telephone Number	:	847-384-3542

Provider Enumeration Date	:	08/20/2007
Last Update Date	:	08/20/2007

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Directions to “ADVOCATE HEALTH CARE ” Practice Location

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