NPIMap

Organization Active NPI

Advocate North Side Health Network

  • Rehabilitation Hospital Unit
  • Chicago, IL
National Provider Identifier
1134607005
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
0005165 Issued in IL
Legal business name
ADVOCATE NORTH SIDE HEALTH NETWORK
Practice address
836 W Wellington Ave
Chicago, IL 60657
Phone
(630) 645-2317
NPI assigned
Aug 2, 2018
Last updated
Jan 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Authorized official

Name
Kara Richardson
Title
VP Managed Health
Phone
(980) 416-4068

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 0005165 IL Primary

Addresses

Primary practice location

836 W Wellington Ave
Chicago, IL 60657

Mailing address

836 W Wellington Ave
Chicago, IL 60657-5147
Phone (773) 975-1600

Other names 1

  • Advocate Illinois Masonic Medical Center Rehab Unit Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130910000866 IL Part A Provider - Hospital 9537063904 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Chicago, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1134607005. Details of each certification follow.

Hospital certification: CCN 14T182

Legal name
ADVOCATE NORTH SIDE HEALTH NETWORK
Doing business as
ADVOCATE ILLINOIS MASONIC MEDICAL CENTER
Organization structure
CorporationNon-profit
Enrollment address
836 W Wellington Ave
Chicago, IL 60657-5147
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Advocate Illinois Masonic Medical CenterCCN 14T182 · All quality measures
Ownership
Non-profit
Certified
Nov 1, 1983

National Provider Directory

National Provider Directory
Tax ID family
Advocate Northside HLTH22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

22393 Network Pl
Chicago, IL 60673

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Dia Nichols Individual Corporate OfficerPresident Oct 1, 2024
Corporate Director Oct 1, 2024
Advocate Health Care Network Organization, Oak Brook, IL Non-profit 5% Or Greater Indirect Ownership Interest Jan 1, 1997 100%
Gail D Hasbrouck Individual Corporate Director Jan 1, 2004
Clarence Nixon Individual Corporate OfficerChairperson Jan 1, 2025
Corporate Director Oct 1, 2005
Tori Munnik Individual Corporate OfficerAssistant Treasurer Jun 3, 2026
Rachelle Hart Individual Corporate OfficerSecretary Jun 14, 2023
Kara Richardson Individual Corporate OfficerAsst. Treasurer Oct 1, 2024
David B Anderson Individual Corporate Director Oct 1, 2008
Lindsay Durgin Individual Corporate OfficerTreasurer Jul 1, 2025
Matthew Primack Individual W-2 Managing EmployeeHospital President May 19, 2025
Rachel Halverson Individual Corporate OfficerAssistant Treasurer Jun 14, 2023
Desiree Millet Individual Corporate OfficerAssistant Treasurer Jun 3, 2026
Nathaniel L Edmond Individual Corporate OfficerVice Chairperson Jan 1, 2025
Corporate Director Jun 1, 2013
Harold James Jr Slinkman Individual Corporate OfficerAssistant Secretary Jun 14, 2023
Advocate Health and Hospitals Corporation Organization, Oak Brook, IL Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Mar 18, 2011 100%
Advocate Health Inc Organization, Charlotte, NC Corporation, Non-profit Operational/Managerial Control Dec 2, 2022
Mark M Harris Individual Corporate Director Oct 1, 2005
Advocate Aurora Health, Inc. Organization, Milwaukee, WI Created for acquisition, Non-profit 5% Or Greater Indirect Ownership Interest Apr 1, 2018 100%
Operational/Managerial Control Apr 1, 2018 100%
Kathie S Bender Schwich Individual Corporate Director Jun 11, 2023

Practitioners & affiliated clinicians

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769558400000",
    "number": "1134607005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 W WELLINGTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575147",
            "telephone_number": "773-975-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 W WELLINGTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60657",
            "telephone_number": "630-645-2317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVOCATE NORTH SIDE HEALTH NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-02",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "KARA",
        "authorized_official_title_or_position": "VP MANAGED HEALTH",
        "authorized_official_telephone_number": "980-416-4068"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "IL",
            "license": "0005165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Advocate Illinois Masonic Medical Center Rehab Unit",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.