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Advocate Health and Hospitals Corp.

Organization Active NPI Hospitalist Physician · Normal, IL

NPI 1295066975 · NPPES record last updated Jan 22, 2010

Key facts

NPI
1295066975
Entity type
Organization (NPI type 2)
Primary specialty
Hospitalist Physician 208M00000X
Legal business name
ADVOCATE HEALTH AND HOSPITALS CORP.
Practice address
1300 Franklin Ave
Suite 380
Normal, IL 61761-3592
Phone
(309) 268-3642
Fax
(309) 268-3649
NPI assigned
Jan 20, 2010
Organization subpart
No

Authorized official

Name
Mr. Stephen R Voss
Title
Chief Financial Officer
Phone
(630) 320-1090

Other NPIs on the same Medicare enrollment 12

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

Corporate family (same tax ID) 24

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20031106000064 IL Part B Supplier - Clinic/Group Practice 7810800935 Receives reassigned benefits from 5,022 practitioners
14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

National Provider Directory

Tax ID family
Adovate Health Hosp Corp (85 organizations share this tax ID)

Locations

1300 Franklin Ave
Ste 380
Normal, IL 61761
Phone (309) 268-3589

2311 W 22nd St
Ste 202
Oak Brook, IL 60523

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 208M00000X Yes

Addresses

Primary practice location

1300 Franklin Ave
Suite 380
Normal, IL 61761-3592

Mailing address

2311 W 22ND St
Suite 202
Oak Brook, IL 60523-1225
Phone (630) 320-1090

Other names

  • Advocate Bromenn Hospitalists Doing business as

Other providers in Normal, IL

All providers in Normal, IL · Hospitalist Physician in Illinois

Sources for this page

Verify at the official NPI Registry.