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ADVOCATE NORTH SIDE HEALTH NETWORK NPI 1821203621


NPI Information

NPI: 1821203621
Provider Name: ADVOCATE NORTH SIDE HEALTH NETWORK

Other Name: LAKE VIEW SCHOOL HEALTH CENTER

Classification: Local Education Agency (LEA) - 251300000X
Entity Type: Organization

CLIA Number: 14D2166822

Address:
4015 N ASHLAND AVE
CHICAGO, IL
ZIP 60613
Phone: (773) 404-0447
Get Directions

ADVOCATE NORTH SIDE HEALTH NETWORK is a local education agency lea in Chicago, IL. The provider is the term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. ADVOCATE NORTH SIDE HEALTH NETWORK NPI is 1821203621. The provider is registered as an organization entity type.
The provider Other Name Is Lake View School Health Center.

The provider's business location address is:

4015 N ASHLAND AVE
CHICAGO, IL
ZIP 60613-593
Phone: (773) 404-0447

The provider's authorized official is Susan Nordstrom Lopez .
The authorized official title is President and has the following contact phone number (773) 296-7081.

The CLIA number assigned to this NPI record is 14D2166822 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/14/2007 and was last updated on 7/23/2008.


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
1251300000XLocal Education Agency (LEA)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
1=========013MEDICAIDILLINOIS

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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