| Advocate Medical Group | |
|
1775 Ballard Rd Park Ridge IL 60068-1005 | |
| (847) 384-3550 | |
| Not Available |
| Full Name | Advocate Medical Group |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1775 Ballard Rd, Park Ridge, Illinois |
| Authorized Official Name and Position | Nan Nelson (SVP REGION CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 4142991610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advocate Medical Group 29373 Network Pl Chicago IL 60673-1293 Ph: () - | Advocate Medical Group 1775 Ballard Rd Park Ridge IL 60068-1005 Ph: (847) 384-3550 |
| NPI Number | 1508637422 |
|---|---|
| Provider Enumeration Date | 01/10/2024 |
| Last Update Date | 02/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508637422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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