Organization Active NPI

Advocate Lutheran General Hospital

  • Children's Hospital
  • Park Ridge, IL
National Provider Identifier
1023308608
Registry record updated Apr 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's HospitalTaxonomy code 282NC2000X
Legal business name
ADVOCATE LUTHERAN GENERAL HOSPITAL
Practice address
1775 W Dempster St
8 South
Park Ridge, IL 60068-1143
Phone
(847) 723-8077
NPI assigned
Apr 15, 2011
Last updated
Apr 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Michael McKenna, M.D.
Title
Dio Medical Education
Phone
(847) 723-7325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Hospital 282NC2000X NU Primary

Addresses

Primary practice location

1775 W Dempster St
8 South
Park Ridge, IL 60068-1143

Mailing address

1775 W Dempster St
8 South
Park Ridge, IL 60068-1143
Phone (847) 723-8077

National Provider Directory

National Provider Directory
Tax ID family
Lulla Sunil MD85 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302825600000",
    "number": "1023308608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 W DEMPSTER ST",
            "address_2": "8 SOUTH",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681143",
            "telephone_number": "847-723-8077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 W DEMPSTER ST",
            "address_2": "8 SOUTH",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681143",
            "telephone_number": "847-723-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVOCATE LUTHERAN GENERAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-15",
        "last_updated": "2011-04-15",
        "status": "A",
        "authorized_official_last_name": "MCKENNA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DIO MEDICAL EDUCATION",
        "authorized_official_telephone_number": "847-723-7325",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.