NPIMap

Organization Active NPI

Advocate Medical Group

  • Advanced Practice Midwife
  • Chicago, IL
National Provider Identifier
1891174983
Registry record updated May 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
209012585 Issued in IL
Legal business name
ADVOCATE MEDICAL GROUP
Practice address
3048 N Wilton Ave
3Rd Floor, Nurse-Midwifery Service
Chicago, IL 60657-6710
Phone
(773) 296-7032
Fax
(773) 296-3096
NPI assigned
May 22, 2015
Last updated
May 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2015

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

Authorized official

Name
Ms. Lise Hauser, CNMNPI 1851404537
Title
Supervisor, Nurse-Midwifery Service
Phone
(773) 296-3098

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 209012585 IL Primary

Addresses

Primary practice location

3048 N Wilton Ave
3Rd Floor, Nurse-Midwifery Service
Chicago, IL 60657-6710

Mailing address

3048 N Wilton Ave
3Rd Floor, Nurse-Midwifery Service
Chicago, IL 60657-6710
Phone (773) 296-7032

National Provider Directory

National Provider Directory
Tax ID family
Lulla Sunil MD85 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 23

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 23

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432252800000",
    "number": "1891174983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3048 N WILTON AVE",
            "address_2": "3RD FLOOR, NURSE-MIDWIFERY SERVICE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576710",
            "telephone_number": "773-296-7032",
            "fax_number": "773-296-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3048 N WILTON AVE",
            "address_2": "3RD FLOOR, NURSE-MIDWIFERY SERVICE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576710",
            "telephone_number": "773-296-7032",
            "fax_number": "773-296-3096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVOCATE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-22",
        "last_updated": "2015-05-22",
        "status": "A",
        "authorized_official_last_name": "HAUSER",
        "authorized_official_first_name": "LISE",
        "authorized_official_title_or_position": "SUPERVISOR, NURSE-MIDWIFERY SERVICE",
        "authorized_official_telephone_number": "773-296-3098",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CNM"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IL",
            "license": "209012585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 22, 2015; 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.