Active NPI
Advocate Medical Group
- Children's Rehabilitation Hospital
- Chicago, IL
National Provider Identifier
1598019051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Children's Rehabilitation Hospital
- License
- 071008251
- Legal business name
- ADVOCATE MEDICAL GROUP
- Practice address
- 3040 N Wilton Ave
2ND Floor
Chicago, IL 60657-4424 - Phone
- (773) 296-5603
- NPI assigned
- Nov 6, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lori Osborne, PH.D.
- Title
- Coordinator, Manager
- Phone
- (773) 296-7688
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Children's Rehabilitation Hospital | 283XC2000X | 071008251 | IL | Primary |
Addresses
Primary practice location
3040 N Wilton Ave
2ND Floor
Chicago, IL 60657-4424
Mailing address
3040 N Wilton Ave
2ND Floor
Chicago, IL 60657-4424
National Provider Directory
National Provider Directory- Tax ID family
- Advocate Northside Heal
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Locations
3040 N Wilton Ave
Fl 2
Chicago, IL 60657
Phone (773) 296-7340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352160000000",
"number": "1598019051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3040 N WILTON AVE",
"address_2": "2ND FLOOR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606574424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3040 N WILTON AVE",
"address_2": "2ND FLOOR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606574424",
"telephone_number": "773-296-5603"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVOCATE MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-06",
"last_updated": "2012-11-06",
"status": "A",
"authorized_official_last_name": "OSBORNE",
"authorized_official_first_name": "LORI",
"authorized_official_title_or_position": "COORDINATOR, MANAGER",
"authorized_official_telephone_number": "773-296-7688",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "283XC2000X",
"taxonomy_group": "",
"desc": "Rehabilitation Hospital, Children",
"state": "IL",
"license": "071008251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
- Advocate Illinois Masonic Medical Center
- Advocate Illinois Masonic Medical Center
- Advocate Illinois Masonic Medical Center
- Advocate Illinois Masonicmedical Center
- Advocate Illnois Masonic Medical Center
- Advocate Medical Group
- Advocate Medical Group
- Advocate North Side Health Network (Advocate Pharmacy #1510)
- Advocate North Side Health Network
- Advocate North Side Health Network
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.