ILLINOIS MASONIC HOSPITAL


Address: 3048 N Wilton Ave, 3rd Floor, Chicago, IL 60657-6710
Phone: 7732963098

ILLINOIS MASONIC HOSPITAL (NPI# 1083040786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083040786
Entity Type Organization
Organization Name ILLINOIS MASONIC HOSPITAL
Practice Address 3048 N Wilton Ave
3rd Floor
Chicago
IL 60657-6710
Practice Telephone 7732963098
Enumeration Date 2013-09-25
Last Update Date 2013-09-25
Authorized Official Name LISE HAUSER (SUPERVISOR OF CNM SERVICES)
Authorized Official Telephone 7732963098
Authorized Official Credential CNM
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 282NW0100X General Acute Care Hospital
Specialization: Women
209.010657 IL Hospitals

Office Location

Street Address 3048 N WILTON AVE
3RD FLOOR
City CHICAGO
State IL
Zip Code 60657-6710

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407801665 Catherine Ann Kallal Internal Medicine 3048 N Wilton Ave, 2nd Floor, Chicago, IL 60657-6710 2006-05-24
1114535135 Jenanne Luse Registered Nurse 3048 N Wilton Ave, Chicago, IL 60657-6710 2020-07-15
1568824068 Julie Eisenberg Pediatrics 3048 N Wilton Ave, Chicago, IL 60657 2016-03-23
1528447166 Karen Wennerberg Advanced Practice Midwife 3048 N Wilton Ave, 3rd Floor, Nurse-midwifery Service, Chicago, IL 60657-6710 2015-05-28
1891174983 Advocate Medical Group Advanced Practice Midwife 3048 N Wilton Ave, 3rd Floor, Nurse-midwifery Service, Chicago, IL 60657-6710 2015-05-22
1265726780 Heartland International Health Center Clinic/Center 3048 N Wilton Ave, 2nd Floor, Chicago, IL 60657-6710 2011-06-01
1164751376 Heartland International Health Center Clinic/Center 3048 N Wilton Ave, 2nd Floor, Chicago, IL 60657-6710 2009-12-17
1114170545 Linda A. Masini Nurse Practitioner 3048 N Wilton Ave, Chicago, IL 60657-6710 2008-10-29
1578712238 Efren Jason Jaurigue Jorge Internal Medicine 3048 N Wilton Ave, 2nd Floor, Chicago, IL 60657-6710 2008-09-17
1558517714 Advocate Illinois Masonic Medical Center Internal Medicine 3048 N Wilton Ave, 2nd Floor, Chicago, IL 60657-6710 2008-08-07
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992303887 Simone Paes Behavior Technician 3141 N Sheffield Ave, Chicago, IL 60657 2020-10-13
1821613175 Samridhi Khatri Internal Medicine 836 W. Wellington Ave, Advocate Illinois Masonic Medica, Suite 1312, Chigaco, IL 60657 2020-06-12
1467074617 Dewolfe Aesthetic Services Sc Surgery 3357 N. Southport Aveune, Chicago, IL 60657 2020-05-11
1790304657 Mehr Amer Mjeed Student in an Organized Health Care Education/Training Program Advocate Internal Medicine Clinic, Advocate Illinois Ma, 836 West Wellington Avenue, Chicago, IL 60657 2020-04-10
1457997561 Jasleen Mohini Singh Physician Assistant 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 2019-11-24
1306493408 Art of Sight Eyecare, LLC Optometrist 2915 N. Broadway, Chicago, IL 60657 2019-08-22
1992359277 Joseph Michael Rochford IIi Counselor 1358 W Belmont Ave, Unit # 202, Chicago, IL 60657 2019-07-25
1487116240 Conrad Petersen Dermatology Sc Dermatology 2845 N Sheridan, Chicago, IL 60657 2019-04-02
1003388810 Evolve Wellness S.c. Counselor 2845 North Sheridan Road, Suite 708, Chicago, IL 60657 2018-12-19
1639657414 Advocate North Side Health Network Psychiatric Unit 836 W Wellington Ave., Chicago, IL 60657 2018-08-02
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Taxonomy Information

Taxonomy Code 282NW0100X
Grouping Hospitals
Classification General Acute Care Hospital
Specialization Women

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528496759 Mount Sinai Hospital General Acute Care Hospital 1500 S. California Ave, Chicago, IL 60608 2013-10-25
1326471756 Mount Sinai Hospital General Acute Care Hospital 1500 S. California Ave, Chicago, IL 60608 2013-08-21
1346584133 Norweigan American Hospital General Acute Care Hospital 1044 N Francisco Ave, Chicago, IL 60622-2743 2012-11-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1902074784 Louis A Weiss Memorail Hospital General Acute Care Hospital 2400 Danbury Dr, Unitb-2, Woodridge, IL 60517-2091 2008-02-14

Competitor

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City CHICAGO
Zip Code 60657

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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