Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Advocate Illinois Masonic Medical Center

Organization Internal Medicine Physician · NPI 1558510388

Advocate Illinois Masonic Medical Center is an Internal Medicine Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008
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Practice location Address checks out

836 W Wellington Ave
Chicago, IL 60657-5147
Phone: (773) 975-1600
Fax: (773) 296-7486
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 125.054164 (IL)

Record details

NPI number1558510388
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationAdvocate Health Care
Authorized official Teresa Ramos — Residency Program Director · (773) 296-7046
NPI enumeratedSeptember 17, 2008
Last updated in NPPESSeptember 17, 2008
Mailing address836 W Wellington Ave, Room 7403, Chicago, IL 60657-5147

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