| Advocate Medical Group | |
|
1775 Ballard Rd Park Ridge IL 60068-1005 | |
| (847) 318-2400 | |
| (847) 318-2414 |
| Full Name | Advocate Medical Group |
|---|---|
| Speciality | Clinic/center |
| Location | 1775 Ballard Rd, Park Ridge, Illinois |
| Authorized Official Name and Position | Phillip L Werner (CHAIRMAN) |
| Authorized Official Contact | 8473182400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advocate Medical Group 1775 Ballard Rd Park Ridge IL 60068-1005 Ph: (847) 318-2400 | Advocate Medical Group 1775 Ballard Rd Park Ridge IL 60068-1005 Ph: (847) 318-2400 |
| NPI Number | 1063585859 |
|---|---|
| Provider Enumeration Date | 11/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063585859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Illinois) | Primary |
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