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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 0005165 | IL | Hospital Units |
| Other Name | Type Code |
|---|---|
| Advocate Illinois Masonic Medical Center Psych Unit | Other Name - Individual/Organization |
| 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 |
| Street Address |
836 W WELLINGTON AVE. |
| City | CHICAGO |
| State | IL |
| Zip Code | 60657 |
| 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 Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| 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. |
| 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 | ||||
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| 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.