Advocate North Side Health Network

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

License

0005165 Issued in IL

Legal business name

ADVOCATE NORTH SIDE HEALTH NETWORK

Practice address

836 W Wellington Ave.
Chicago, IL 60657

Phone

(773) 975-1600

NPI assigned

Aug 2, 2018

Organization subpart

No

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

Authorized official

Name

Kara Richardson

Title

VP Managed Health

Phone

(980) 416-4068

Specialties & licenses 1

Addresses

Other names 1

• Advocate Illinois Masonic Medical Center Psych Unit Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Hospital certification: CCN 14S182

Legal name

ADVOCATE NORTH SIDE HEALTH NETWORK

Doing business as

ADVOCATE ILLINOIS MASONIC MEDICAL CENTER

Organization structure

CorporationNon-profit

Incorporated

Apr 27, 1981 in IL

Enrollment address

836 W Wellington Ave
Chicago, IL 60657-5147
Hospital Psychiatric Unit

Hospital subgroups

Psychiatric unit

Related certifications (CCN) 1

Facilities connected through Provider of Services related, parent or unit certification numbers.

• Advocate North Side Health Network

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1912014564

  Unit of hospital

  Provider of Services

Other NPIs on the same Medicare enrollment 1

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

• Advocate North Side Health Network

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1912014564

  O20110119000254

  Same enrollment

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Advocate Health and Hospitals Corporation

  • Multi-Specialty Clinic/Center
  • Aurora, IL
  • NPI 1760108369

  Member Of

  NPD member

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769558400000",
    "number": "1639657414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 W WELLINGTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575147",
            "telephone_number": "773-975-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 W WELLINGTON AVE.",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60657",
            "telephone_number": "773-975-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVOCATE NORTH SIDE HEALTH NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-02",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "KARA",
        "authorized_official_title_or_position": "VP MANAGED HEALTH",
        "authorized_official_telephone_number": "980-416-4068"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "IL",
            "license": "0005165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Advocate Illinois Masonic Medical Center Psych Unit",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Advocate Medical Group
• Advocate Medical Group
• Advocate Medical Group
• Advocate North Side Health Network
• Advocate North Side Health Network
• Advocate North Side Health Network
• Advocate North Side Health Network
• Advocate North Side Health Network
• Advocate North Side Health Network
• Advocate Northside Health System

• Psychiatric Hospital Unit in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychiatric Hospital Unit in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.