NPIMap

Organization Active NPI

Advocate North Side Health Network

  • Local Education Agency (LEA)
  • Chicago, IL
National Provider Identifier
1821203621
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
ADVOCATE NORTH SIDE HEALTH NETWORK
Practice address
4015 N Ashland Ave
Chicago, IL 60613-2593
Phone
(773) 404-0447
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Authorized official

Name
Susan Nordstrom Lopez
Title
President
Phone
(773) 296-7081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

4015 N Ashland Ave
Chicago, IL 60613-2593

Mailing address

836 W Wellington Ave
Chicago, IL 60657-5147

Other names 1

  • Lake View School Health Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Advocate Northside Heal22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1821203621",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 N ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132593",
            "telephone_number": "773-404-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVOCATE NORTH SIDE HEALTH NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "NORDSTROM LOPEZ",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-296-7081"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake View School Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.