NPI | 1639657414 |
---|---|
Other Name | ADVOCATE ILLINOIS MASONIC MEDICAL CENTER PSYCH UNIT |
Entity Type | Organization |
Authorized Contact | KARA RICHARDSON VP Managed Health 704-631-0450 |
Organization Subpart ? | No |
Primary Taxonomy | 273R00000X Psychiatric Unit (Licence: IL 0005165) |
Enumeration Date | 2018-08-02 |
Last Update Date | 2024-12-02 |