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ADVOCATE HEALTH AND HOSPITALS CORPORATION NPI 1174747075


NPI Information

NPI: 1174747075
Provider Name: ADVOCATE HEALTH AND HOSPITALS CORPORATION

Other Name: ADVOCATE FAMILY CARE NETWORK

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 14D2125833

Address:
4700 W 95TH ST
SUITE LOWER LEVEL 5
OAK LAWN, IL
ZIP 60453
Phone: (800) 216-1110
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ADVOCATE HEALTH AND HOSPITALS CORPORATION is a mental health (including community mental health center) clinic center in Oak Lawn, IL. ADVOCATE HEALTH AND HOSPITALS CORPORATION NPI is 1174747075. The provider is registered as an organization entity type.
The provider Other Name Is Advocate Family Care Network.

The provider's business location address is:

4700 W 95TH ST
SUITE LOWER LEVEL 5
OAK LAWN, IL
ZIP 60453-533
Phone: (800) 216-1110
Fax: (708) 346-4868

The provider's authorized official is John F. Smith .
The authorized official title is Vice President Op Ambul Behavioral and has the following contact phone number (800) 216-1110.

The CLIA number assigned to this NPI record is 14D2125833 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/12/2007 and was last updated on 10/27/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0850XClinic/CenterAdult Mental HealthNo
2261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
3261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1980650MEDICARE ID-TYPE UNSPECIFIEDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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