NPIMap

Organization Active NPI

Advocate Health and Hospitals Corporation

Doing business as Advocate Intensivist Partners

  • Critical Care Medicine (Internal Medicine) Physician
  • Oak Lawn, IL
National Provider Identifier
1629441027
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
Legal business name
ADVOCATE HEALTH AND HOSPITALS CORPORATION
Doing business as
Advocate Intensivist Partners
Practice address
4440 W 95TH St
Oak Lawn, IL 60453-2600
Phone
(708) 684-5015
Fax
(708) 520-1820
NPI assigned
Nov 6, 2015
Last updated
Jan 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Authorized official

Name
Michael Ries
Title
President
Phone
(708) 684-8000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU
Critical Care Medicine (Internal Medicine) Physician 207RC0200X NU Primary
Pulmonary Disease Physician 207RP1001X NU

Addresses

Primary practice location

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

Mailing address

28592 Network PL
Chicago, IL 60673-1285
Phone (800) 655-2656

Other names 1

  • Advocate Intensivist Partners Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151211000056 IL Part B Supplier - Hospital Department(S) 7810800935 Receives reassigned benefits from 164 practitioners
Practice locations: Park Ridge, IL; Chicago, IL; Oak Lawn, IL; Hazel Crest, IL; Elgin, IL; Downers Grove, IL; Barrington, IL

National Provider Directory

National Provider Directory

Locations

28592 Network Pl
Chicago, IL 60673

3815 Highland Ave
Ste Aip
Downers Grove, IL 60515
Phone (630) 275-7100

4440 W 95th St
Ste Aip
Oak Lawn, IL 60453
Phone (708) 684-8000

1775 Dempster St
Ste Aip
Park Ridge, IL 60068
Phone (708) 283-5500

Ownership & related parties

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Advocate Sherman HospitalElgin, IL, CCN 140030 Hospital Other Mar 30, 2022
Advocate Illinois Masonic Medical CenterChicago, IL, CCN 140182 Hospital 5% Or Greater Direct Ownership Interest (100%) Mar 18, 2011
RML Specialty HospitalHinsdale, IL, CCN 142010 Hospital Limited Partnership Interest (49.5%) Aug 1, 2010
Advocate Lutheran General HospitalPark Ridge, IL, CCN 140223 Hospital 5% Or Greater Direct Ownership Interest (100%) Mar 18, 2011
Advocate Condell Medical CenterLibertyville, IL, CCN 140202 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2008
Advocate Illinois Masonic Medical CenterChicago, IL, CCN 14S182 Hospital 5% Or Greater Direct Ownership Interest (100%) Mar 18, 2011
Advocate Illinois Masonic Medical CenterChicago, IL, CCN 14T182 Hospital 5% Or Greater Direct Ownership Interest (100%) Mar 18, 2011
Advocate Home Health ServicesOak Brook, IL, CCN 147150 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jun 1, 1977
Advocate HospiceOak Brook, IL, CCN 141516 Hospice 5% Or Greater Direct Ownership Interest Jun 24, 2009

Practitioners & affiliated clinicians

Practitioners 164

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.

View all 164

NPI Registry JSON

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

{
    "created_epoch": "1446768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642464000000",
    "number": "1629441027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28592 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731285",
            "telephone_number": "800-655-2656",
            "fax_number": "412-822-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532600",
            "telephone_number": "708-684-5015",
            "fax_number": "708-520-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVOCATE HEALTH AND HOSPITALS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-06",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A",
        "authorized_official_last_name": "RIES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-684-8000"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advocate Intensivist Partners",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advocate Intensivist Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Lawn, IL

Sources for this page

Verify at the official NPI Registry.