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ADVOCATE MEDICAL GROUP NPI 1972959054


NPI Information

NPI: 1972959054
Provider Name: ADVOCATE MEDICAL GROUP
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 14D0900618

Address:
9831 S WESTERN AVE
SUITE 396
CHICAGO, IL
ZIP 60643
Phone: (773) 881-5632
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ADVOCATE MEDICAL GROUP is a primary care clinic center in Chicago, IL. ADVOCATE MEDICAL GROUP NPI is 1972959054. The provider is registered as an organization entity type.

The provider's business location address is:

9831 S WESTERN AVE
SUITE 396
CHICAGO, IL
ZIP 60643-740
Phone: (773) 881-5632

The provider's authorized official is Adwoa Boatema Darkwa .
The authorized official title is Clinical Pharmacist and has the following contact phone number (773) 881-5632.

The CLIA number assigned to this NPI record is 14D0900618 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/9/2016 and was last updated on 5/9/2016.


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
1261QP2300XClinic/CenterPrimary Care051294363ILLINOISYes

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: 11/14/2023

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