| Advocate Lutheran General Hospital | |
|
1775 Dempster St Park Ridge IL 60068-1143 | |
| (847) 723-7979 | |
| Not Available |
| Full Name | Advocate Lutheran General Hospital |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1775 Dempster St, Park Ridge, Illinois |
| Authorized Official Name and Position | Mariola Mjaltaj (RESIDENT) |
| Authorized Official Contact | 7737046643 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advocate Lutheran General Hospital 2127 N 72nd Ct Elmwood Park IL 60707-3104 Ph: (773) 704-6643 | Advocate Lutheran General Hospital 1775 Dempster St Park Ridge IL 60068-1143 Ph: (847) 723-7979 |
| NPI Number | 1497982037 |
|---|---|
| Provider Enumeration Date | 06/22/2009 |
| Last Update Date | 06/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497982037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 125.056297 (Illinois) | Primary |
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