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

Advocate Illinois Masonic Medical Center

Organization Internal Medicine Physician · NPI 1780850404

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

Practice location Address checks out

3048 N Wilton Ave 2nd Fl
Chicago, IL 60657-6710
Phone: (773) 296-5424
Fax: (773) 296-5280
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 125053624 (IL)

Record details

NPI number1780850404
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationAdvocate Healthcare
Authorized official Teresa Ramos — Residency Program Director · (773) 296-7046
NPI enumeratedMay 2, 2008
Last updated in NPPESDecember 5, 2008
Mailing address836 W Wellington Ave, Room 7403, Chicago, IL 60657-5147

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