NPIMap

Organization Active NPI

Advocate Health and Hospitals Corp.

Doing business as Advocate Medical Group

  • Cardiovascular Disease Physician
  • Chicago, IL
National Provider Identifier
1487951711
Registry record updated Feb 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
ADVOCATE HEALTH AND HOSPITALS CORP.
Doing business as
Advocate Medical Group
Practice address
3118 N Ashland Ave
Chicago, IL 60657-3014
Phone
(773) 880-9722
Fax
(773) 880-9723
NPI assigned
Feb 23, 2011
Last updated
Feb 23, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
ADVOCATE HEALTH AND HOSPITALS CORP.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 23, 2011

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

Authorized official

Name
Mr. Ian D Stewart
Title
VP Business Systems, Finance, Ops
Phone
(847) 390-5453

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU
Cardiovascular Disease Physician 207RC0000X NU Primary
Clinical Cardiac Electrophysiology Physician 207RC0001X NU

Addresses

Primary practice location

3118 N Ashland Ave
Chicago, IL 60657-3014

Mailing address

701 Lee St
Suite 300
Des Plaines, IL 60016-4539
Phone (847) 390-5900

Other names 1

  • Advocate Medical Group Doing business as

Medicare participation

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

Enrollment records 1

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

Other NPIs on the same Medicare enrollment 12

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

National Provider Directory

National Provider Directory
Part of
Lulla Sunil MD

Locations

3118 N Ashland Ave
Chicago, IL 60657
Phone (773) 537-0077

Practitioners & affiliated clinicians

Practitioners 5

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": "1298419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298419200000",
    "number": "1487951711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 LEE ST",
            "address_2": "SUITE 300",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600164539",
            "telephone_number": "847-390-5900",
            "fax_number": "847-390-5922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3118 N ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573014",
            "telephone_number": "773-880-9722",
            "fax_number": "773-880-9723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVOCATE HEALTH AND HOSPITALS CORP.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVOCATE HEALTH AND HOSPITALS CORP.",
        "enumeration_date": "2011-02-23",
        "last_updated": "2011-02-23",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VP BUSINESS SYSTEMS, FINANCE, OPS",
        "authorized_official_telephone_number": "847-390-5453",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advocate Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.