ADVOCATE ILLINOIS MASONIC MEDICAL CENTER (NPI# 1104062462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104062462 |
| Entity Type | Organization |
| Organization Name | ADVOCATE ILLINOIS MASONIC MEDICAL CENTER |
| Practice Address |
3632 Wirth Rd Highland IN 46322-2218 |
| Practice Telephone | 2199231263 |
| Enumeration Date | 2008-12-16 |
| Last Update Date | 2008-12-16 |
| Authorized Official Name | DONNA KING (CLINICAL OPERATIONS AND CHIEF NURSI) |
| Authorized Official Telephone | 7732967001 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
041.247086 | IL | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881915585 | Advocate Illinois Masonic Medical Center | General Acute Care Hospital | 836 W Wellington Ave, Chicago, IL 60657-5147 | 2010-06-16 |
| 1558510388 | Advocate Illinois Masonic Medical Center | Internal Medicine | 836 W Wellington Ave, Chicago, IL 60657-5147 | 2008-09-17 |
| 1558517714 | Advocate Illinois Masonic Medical Center | Internal Medicine | 3048 N Wilton Ave, 2nd Floor, Chicago, IL 60657-6710 | 2008-08-07 |
| 1750537916 | Advocate Illinois Masonic Medical Center | Internal Medicine | 3048 N Wilton Ave, 2nd Floor, Chicago, IL 60657-6710 | 2008-08-07 |
| 1508021098 | Advocate Illinois Masonic Medical Center | Internal Medicine | 836 W Wellington, Chicago, IL 60657 | 2008-07-23 |
| 1114189255 | Advocate Illinois Masonic Medical Center | Internal Medicine | 3048 N Wilton Ave Fl 2, Chicago, IL 60657-6710 | 2008-06-30 |
| 1316114937 | Advocate Illinois Masonic Medical Center | Internal Medicine | 836 W Wellington Ave, Room 7403, Chicago, IL 60657-5147 | 2008-05-13 |
| 1881861490 | Advocate Illinois Masonic Medical Center | Internal Medicine | 836 W Wellington Ave, Chicago, IL 60657-5147 | 2008-05-13 |
| 1063688786 | Advocate Illinois Masonic Medical Center | Internal Medicine | 3048 N Wilton Ave Fl 2, Chicago, IL 60657-6710 | 2008-05-02 |
| 1326214040 | Advocate Illinois Masonic Medical Center | Internal Medicine | 3048 N Wilton Ave, 2nd Floor, Chicago, IL 60657-6710 | 2008-05-02 |
| Street Address |
3632 WIRTH RD |
| City | HIGHLAND |
| State | IN |
| Zip Code | 46322-2218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013431733 | Marielva Banks | Physician Assistant | 10343 Indianapolis Blvd Ste 104, Highland, IN 46322 | 2017-08-03 |
| 1467806596 | Archangel Home Care Inc | Home Health | 2148 45th Ste 205, Highland, IN 46322 | 2016-04-14 |
| 1427457886 | Veronica Addison | Community/Behavioral Health | 219 Indianapolis Blvd, Ste B, Highland, IN 46322 | 2014-08-21 |
| 1750700423 | Persa Darnell | Nurse Practitioner | 3747 45th Ave., Highland, IN 46322 | 2014-04-10 |
| 1043648207 | Wahbi Adad | Specialist | 8732 Woodward Ave, Highland, IN 46322 | 2013-10-28 |
| 1619229317 | Cleotis White | Counselor | 2646 Highway Ave Ste 108, Highland, IN 46322 | 2012-10-05 |
| 1912278904 | Noble Home Health Care LLC | Home Health | 2449 45th St, Suite D, Highland, IN 46322 | 2012-01-23 |
| 1891926531 | Saket B Sinha | Internal Medicine | 9030 Cline Ave, Highland, IN 46322 | 2009-07-29 |
| 1194998963 | Affordable Hearing Aid Center | Hearing Instrument Specialist | 2148 45th St, Highland, IN 46322 | 2008-04-11 |
| 1497954390 | Highland Clinic of Northwest Indiana Inc | General Practice | 2834 Highway Ave Ste 1, Highland, IN 46322 | 2007-07-12 |
| Find all providers in zip 46322 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194829309 | St. Josephs Hospital of The Hospital Sisters of The Third Order of St | General Acute Care Hospital | 1515 Main St, Highland, IL 62249-1656 | 2006-09-08 |
| 1447352323 | St. Josephs Hospital of The Hospital Sisters of The Third Order of St | General Acute Care Hospital | 12866 Troxler Ave, Highland, IL 62249 | 2006-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871973032 | Franciscan Health Rensselaer, Inc. | General Acute Care Hospital | 4109 W State Road 10, Wheatfield, IN 46392-7008 | 2015-06-03 |
| 1831331800 | Richard L. Roudebush Va Medical Center | General Acute Care Hospital | 1816 Larkfield Ct Apt 563, Indianapolis, IN 46260-2562 | 2009-04-06 |
| 1366528820 | Dannielle Christine Gilyan | General Acute Care Hospital | 2445 Directors Row Ste C, Indianapolis, IN 46241-4936 | 2006-10-27 |
| 1568417004 | Community Hospital of Bremen, Inc | General Acute Care Hospital | 1020 High Road, Bremen, IN 46506 | 2006-05-23 |
| 1811962228 | Jasper County Hospital | General Acute Care Hospital | 1104 E Grace St, Rensselaer, IN 47978-3211 | 2006-02-20 |
| 1154396604 | Scott County Memorial Hospital | General Acute Care Hospital | 1451 N Gardner St, Scottsburg, IN 47170-7751 | 2006-02-20 |
| 1871574822 | Indiana University Health Blackford Hospital Inc | General Acute Care Hospital | 410 Pilgrim Blvd, Hartford City, IN 47348-1382 | 2005-11-08 |
| 1548260284 | Indiana University Health Bedford, Inc | General Acute Care Hospital | 2900 W. 16th St, Bedford, IN 47421-3510 | 2005-07-22 |
| 1952300477 | Decatur County Memorial Hospital | General Acute Care Hospital | 720 N. Lincoln St, Greensburg, IN 47240-1398 | 2005-07-18 |
| 1306844519 | Union Hospital, Inc. | General Acute Care Hospital | 801 S Main St, Clinton, IN 47842-2261 | 2005-07-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ADVOCATE ILLINOIS MASONIC MEDICAL CENTER.
| 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.