| NPI | 1780788323 |
|---|---|
| Doing Business As | ADVOCATE ILLINOIS MASONIC PHYSICIAN GROUP |
| Entity Type | Organization |
| Authorized Contact | IAN D STEWART VP Business Systems, Finance, Ops. 847-390-5453 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2013-01-25 |