Advocate Illinois Masonic

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

125057009 Issued in IL

Legal business name

ADVOCATE ILLINOIS MASONIC

Practice address

856 W Nelson St Apt 1905
Chicago, IL 60657-9204

Phone

(773) 313-5281

NPI assigned

Jul 29, 2009

Last updated

Jul 29, 2009By 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

Laura Daly

Title

House Staff Coordinator

Phone

(773) 296-5944

Specialties & licenses 1

Addresses

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.

• Jose Daniel Perez Porcel, MD

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1427289917
  NPD (past)

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248825600000",
    "number": "1780815407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 W NELSON ST APT 1905",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606579204",
            "telephone_number": "773-313-5281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "856 W NELSON ST APT 1905",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606579204",
            "telephone_number": "773-313-5281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVOCATE ILLINOIS MASONIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-29",
        "last_updated": "2009-07-29",
        "status": "A",
        "authorized_official_last_name": "DALY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "HOUSE STAFF  COORDINATOR",
        "authorized_official_telephone_number": "773-296-5944"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": "125057009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advocate Health and Hospitals Corporation (Advocate Medical Group)
• Advocate Health Care Services, Inc
• Advocate Health Centers, Inc.
• Advocate Healthcare Systems Inc
• Advocate Illinois Masonic
• Advocate Illinois Masonic Hospital (Private - Self - employeed)
• Advocate Illinois Masonic Medical Center
• Advocate Illinois Masonic Medical Center
• Advocate Illinois Masonic Medical Center
• Advocate Illinois Masonic Medical Center

• General Acute Care Hospital in Chicago, IL
• Providers in Chicago, IL by specialty
• General Acute Care Hospital in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; 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.