| NPI | 1588109151 |
|---|---|
| Former Legal Business Name | ADVOCATE MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | JUDITH WALKER Manager, Dental Programs 773-296-8189 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2017-01-05 |