Advocate Children's Hospital

Primary specialty

Children's HospitalTaxonomy code 282NC2000X

License

247000065 Issued in IL

Legal business name

ADVOCATE CHILDREN'S HOSPITAL

Practice address

4440 W 95TH St
Room 0019H
Oak Lawn, IL 60453-2600

Phone

(708) 684-4561

Fax

(708) 684-4763

NPI assigned

Jan 12, 2016

Last updated

Jan 12, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jessica Marie Nicoll, MS, CGC

Title

Genetic Counselor

Phone

(708) 684-4561

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, and the practitioner matching its NPPES authorized official.

• Summer Collette Watkins, RN, MSN, CPNP-AC

  • Nurse Practitioner
  • Oak Lawn, IL
  • NPI 1699950535
  NPD (past)

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452556800000",
    "number": "1619333291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 W 95TH ST",
            "address_2": "ROOM 0019H",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532600",
            "telephone_number": "708-684-4561",
            "fax_number": "708-684-4763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 W 95TH ST",
            "address_2": "ROOM 0019H",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532600",
            "telephone_number": "708-684-4561",
            "fax_number": "708-684-4763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVOCATE CHILDREN'S HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-12",
        "last_updated": "2016-01-12",
        "status": "A",
        "authorized_official_last_name": "NICOLL",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "GENETIC COUNSELOR",
        "authorized_official_telephone_number": "708-684-4561",
        "authorized_official_credential": "MS, CGC"
    },
    "taxonomies": [
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "IL",
            "license": "247000065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Eyecare Professionals, P.C.
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• Advanced Rehabilitaion Services Inc
• Advantage Chiropractic and Rehabilitation, SC
• Advantage Pharmacy Inc.
• Advocate Christ Hospital
• Advocate Christ Medical Center
• Advocate Christ Medical Center
• Advocate Health & Hospitals Corporation (Advocate Christ Medical Group)
• Advocate Health and Hopsitals Corporation (Christ Hospital Outpatient Pharmacy)

• Children's Hospital in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Children's Hospital in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; 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.