NPI | 1861774408 |
---|---|
Doing Business As | ADVOCATE ILLINOIS MASONIC MEDICAL CENTER |
Entity Type | Organization |
Authorized Contact | PAUL ANDERSON Senior Business Analyst 773-296-6316 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 04004) |
Enumeration Date | 2011-09-09 |
Last Update Date | 2023-02-21 |