ADVOCATE NORTH SIDE HEALTH NETWORK


Address: 836 W Wellington Ave., Chicago, IL 60657
Phone: 7739751600

ADVOCATE NORTH SIDE HEALTH NETWORK (NPI# 1639657414) 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) 1639657414
Entity Type Organization
Organization Name ADVOCATE NORTH SIDE HEALTH NETWORK
Other Organization Name ADVOCATE ILLINOIS MASONIC MEDICAL CENTER PSYCH UNIT
Practice Address 836 W Wellington Ave.
Chicago
IL 60657
Mailing Address 836 W Wellington Ave
Chicago
IL 60657-5147
Practice Telephone 7739751600
Mailing Telephone 7739751600
Enumeration Date 2018-08-02
Last Update Date 2018-08-02
Authorized Official Name SUSAN N. LOPEZ (PRESIDENT)
Authorized Official Telephone 7732967081
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 273R00000X Psychiatric Unit 0005165 IL Hospital Units

Other Provider/Organization Names

Other Name Type Code
Advocate Illinois Masonic Medical Center Psych Unit Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1689886889 Advocate North Side Health Network Local Education Agency (LEA) 5110 N Damen Ave, Chicago, IL 60625-1317 2007-05-03
1134607005 Advocate North Side Health Network Rehabilitation Unit 836 W Wellington Ave, Chicago, IL 60657 2018-08-02
1821203621 Advocate North Side Health Network Local Education Agency (LEA) 4015 N Ashland Ave, Chicago, IL 60613-2593 2007-05-14
1780788323 Advocate North Side Health Network Clinic/Center 836 W Wellington Ave, Chicago, IL 60657-5147 2006-09-12
1912014564 Advocate North Side Health Network Rehabilitation Unit 836 W Wellington Ave, Chicago, IL 60657-5147 2006-08-23

Office Location

Street Address 836 W WELLINGTON AVE.
City CHICAGO
State IL
Zip Code 60657

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
1235627332 Chicago Nephrology Associates, LLC Internal Medicine 3023 N Clark St #302, Chicago, IL 60657 2018-04-25
Find all providers in zip 60657

Taxonomy Information

Taxonomy Code 273R00000X
Grouping Hospital Units
Classification Psychiatric Unit

Taxonomy Definition

In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.
Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427547538 Holy Cross Hospital Psychiatric Unit 2701 West 68th Street, Chicago, IL 60629 2018-05-03
1669704326 Isaac Ray Center At Cermak Psychiatric Unit 3159 N Seminary #301, Chicago, IL 60657 2010-02-05
1316115223 394567 D North Psychiatric Unit 4200 North Oak Park Ave, Chicago, IL 60634-1417 2008-02-13
1508034414 395061 Med Eval Psychiatric Unit 4200 North Oak Park Avenue, Chicago, IL 60634-1417 2008-02-13
1871678334 Kindred Thc Chicago, LLC Psychiatric Unit 2544 W Montrose Ave, Chicago, IL 60618 2006-10-25
1538114392 Bhc Streamwood Management Services LLC Psychiatric Unit 2233 W Division 15th Floor, Chicago, IL 60622 2006-05-23
1972594877 Norwegian American Hospital Incorporated Psychiatric Unit 1044 North Francisco, Chicago, IL 60622 2005-10-31
1497750699 Jackson Park Hospital Foundation Psychiatric Unit 7531 S Stony Island Ave, Chicago, IL 60649-3954 2005-06-15
1912473927 Pipeline - Weiss Memorial Hospital, LLC Psychiatric Unit 4646 N Marine Dr, Chicago, IL 60640-5759 2018-10-17
1396250304 Jackson Park Hospital Foundation Psychiatric Unit 7531 S Stony Island Ave, Chicago, IL 60649-3954 2017-12-13
Find all providers in CHICAGO

Competitor

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City CHICAGO
Zip Code 60657

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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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