Advocate Illnois Masonic Medical Center

Primary specialty

Personal Emergency Response AttendantTaxonomy code 146D00000X

License

036082690 Issued in IL

Legal business name

ADVOCATE ILLNOIS MASONIC MEDICAL CENTER

Practice address

836 W Wellington Ave
Chicago, IL 60657-5147

Phone

(773) 975-1600

Fax

(773) 296-7459

NPI assigned

Jan 2, 2007

Organization subpart

No

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

Authorized official

Name

Adrian Iosif Nica, M.D.

Title

Pediatric Critical Care

Phone

(773) 975-1600

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Piotr Piotrowski, MD

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1033309653
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1285791939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 N MARINE DR",
            "address_2": "APT.303",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606131743",
            "telephone_number": "773-327-8826"
        },
        {
            "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": "606575147",
            "telephone_number": "773-975-1600",
            "fax_number": "773-296-7459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVOCATE ILLNOIS MASONIC MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "NICA",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_middle_name": "IOSIF",
        "authorized_official_title_or_position": "PEDIATRIC CRITICAL CARE",
        "authorized_official_telephone_number": "773-975-1600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Personal Emergency Response Attendant",
            "state": "IL",
            "license": "036082690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advocate Illinois Masonic Medical Center
• Advocate Illinois Masonic Medical Center
• Advocate Illinois Masonic Medical Center
• Advocate Illinois Masonic Medical Center
• Advocate Illinois Masonicmedical Center
• Advocate Medical Group
• Advocate Medical Group
• Advocate Medical Group
• Advocate North Side Health Network
• Advocate North Side Health Network

• Personal Emergency Response Attendant in Chicago, IL
• Providers in Chicago, IL by specialty
• Personal Emergency Response Attendant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.