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NPI Code Detail

MEDICARE: ADVOCATE NORTH SIDE HEALTH NETWORK

MEDICARE: ADVOCATE NORTH SIDE HEALTH NETWORK
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
1273R00000XPsychiatric Hospital Unit273R00000XIL
2273Y00000XRehabilitation Hospital Unit273Y00000XIL
3291U00000XClinical Medical Laboratory
4282N00000XGeneral Acute Care Hospital282N00000XIL

General Provider Information

NPI Number : 1912014564
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVOCATE NORTH SIDE HEALTH NETWORK
Provider Business Mailing Address
First Line : 836 W WELLINGTON AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60657-5147
Country : US
Telephone Number : 773-975-1600
Fax Number :
Provider Business Practice Location Address
First Line : 836 W WELLINGTON AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60657-5147
Country : US
Telephone Number : 773-975-1600
Fax Number :
Authorized Official
Title or Position : VP MANAGED HEALTH
Name : KARA RICHARDSON
Credential :
Telephone Number : 980-416-4068
Provider Enumeration Date : 08/23/2006
Last Update Date : 01/28/2026

Similar Medicare Providers

1356872006 — HASAN N. ABAD D.O.
Practice Location Address:
836 W WELLINGTON AVE
CHICAGO, IL
60657-5147
Practice Phone: 773-296-5435
Practice Fax:
1639662695 — DR. ISAAC YEPES MORENO MD
Practice Location Address:
836 W WELLINGTN AVE
CHICAGO, IL
60657-5147
Practice Phone: 773-975-1600
Practice Fax:
1972503886 — EDDIE J. MARKUL M.D.
Practice Location Address:
836 W WELLINGTON AVE
CHICAGO, IL
60657-5147
Practice Phone: 773-296-5878
Practice Fax: 773-296-7818
1902807290 — JASON M. GOSNELL M.D.
Practice Location Address:
836 W WELLINGTON AVE
CHICAGO, IL
60657-5147
Practice Phone: 773-296-5878
Practice Fax: 773-296-7818
1073596904 — DR. WILLIAM NORMAN WERNER M.D., M.P.H.
Practice Location Address:
836 W WELLINGTON AVE
CHICAGO, IL
60657-5147
Practice Phone: 773-296-5888
Practice Fax: 773-296-7925
1710963749 — TRACI P BECK MD
Practice Location Address:
836 W WELLINGTON AVE
CHICAGO, IL
60657-5147
Practice Phone: 773-296-7159
Practice Fax: 773-296-7939
1518937937 — KENNETH CANDIDO MD
Practice Location Address:
836 W WELLINGTON AVE , SUITE 4815
CHICAGO, IL
60657-5147
Practice Phone: 773-296-7934
Practice Fax: 773-296-5088

Directions to “ADVOCATE NORTH SIDE HEALTH NETWORK ” Practice Location

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