1831420520 NPI number — ADVOCATE HEALTH AND HOSPITALS CORP.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831420520 NPI number — ADVOCATE HEALTH AND HOSPITALS CORP.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ADVOCATE HEALTH AND HOSPITALS CORP.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
ADVOCATE BROMENN REGIONAL MEDICAL CENTER BH
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1831420520
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/20/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2311 W 22ND ST
Provider Second Line Business Mailing Address:
SUITE 202
Provider Business Mailing Address City Name:
OAK BROOK
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60523-1225
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
630-320-1090
Provider Business Mailing Address Fax Number:
630-320-1231

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1304 FRANKLIN AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NORMAL
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
61761-3558
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
309-454-1400
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/20/2010

Additional Information

Authorized Official

Authorized Official Last Name:
VOSS
Authorized Official First Name:
STEPHEN
Authorized Official Middle Name:
R
Authorized Official Title or Position:
CHIEF FINANCIAL OFFICER
Authorized Official Telephone Number:
630-320-1090

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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