Advocate Illinois Masonic
Advocate Illinois Masonic is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Registered with an NPI since 2008.
- In the registry since
- 2008
Practice location Address checks out
836 W Wellington Ave Family PracticeChicago, IL 60657-5147
Phone: (773) 296-8250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1376700732 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Evelyn Cotto — Residency Coordinator · (773) 296-8250 |
| NPI enumerated | May 21, 2008 |
| Last updated in NPPES | May 21, 2008 |
| Mailing address | 3430 N Elaine Pl, Apt 4, Chicago, IL 60657-2483 |
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