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ADVOCATE ILLNOIS MASONIC MEDICAL CENTER NPI 1285791939


NPI Information

NPI: 1285791939
Provider Name: ADVOCATE ILLNOIS MASONIC MEDICAL CENTER
Classification: Personal Emergency Response Attendant - 146D00000X
Entity Type: Organization

CLIA Number: 14D0664174

Address:
836 W WELLINGTON AVE
CHICAGO, IL
ZIP 60657
Phone: (773) 975-1600
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ADVOCATE ILLNOIS MASONIC MEDICAL CENTER is a personal emergency response attendant in Chicago, IL. The provider is individuals that are specially trained to assist patients living at home with urgent/emergent situations. These individuals must be able to perform CPR and basic first aid and have sufficient counseling skills to allay fears and assist in working through processes necessary to resolve the crisis. Functions may include transportation to various facilities and businesses, contacting agencies to initiate remediation service or providing reassurance. ADVOCATE ILLNOIS MASONIC MEDICAL CENTER NPI is 1285791939. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

836 W WELLINGTON AVE
CHICAGO, IL
ZIP 60657-147
Phone: (773) 975-1600
Fax: (773) 296-7459

The provider's authorized official is Adrian Iosif Nica .
The authorized official title is Pediatric Critical Care and has the following contact phone number (773) 975-1600.

The CLIA number assigned to this NPI record is 14D0664174 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/2/2007 and was last updated on 6/16/2008.


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
1146D00000XPersonal Emergency Response Attendant036082690ILLINOISYes

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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