Advocate Illnois Masonic Medical Center

NPI #1285791939 in Chicago, Illinois

Provider Information

NPI Number
1285791939
Entity Type
Organization
Organization Name
Advocate Illnois Masonic Medical Center
Primary Specialty
Personal Emergency Response Attendant
Enumeration Date
Jan 2, 2007
Last Updated
Jun 16, 2008

Practice Location

Address
836 W WELLINGTON AVE
ZIP Code
60657-5147
Phone
(773) 975-1600

Authorized Official

Name
ADRIAN IOSIF NICA, M.D.
Title
PEDIATRIC CRITICAL CARE
Phone
(773) 975-1600

Specialties & Taxonomy Codes

Specialty
Personal Emergency Response Attendant

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