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Advocate Illinois Masonic Hospital — NPI 1407154156, Chicago, IL | NPI Central

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NPI 1407154156

OrganizationActive

Advocate Illinois Masonic Hospital

NPI 1407154156 · General Acute Care Hospital · Chicago, IL

Provider details

NPI number: 1407154156
Entity type: Organization
Primary specialty: General Acute Care HospitalHospitals
Organization subpart: No
Authorized official: Jaclyn Sprague, Manager Nutrition Services(773) 296-5194
License: 164005250 (IL)

Specialties & taxonomies

General Acute Care HospitalPrimary282N00000XLicense 164005250 (IL)
Hospitals

Practice location

836 W Wellington Ave

Chicago, IL 60657-5147

Phone: (773) 975-1600

Approximate (ZIP-level) locationGet directions

More IL providers

Mailing address

836 W Wellington Ave

Chicago, IL 60657-5147

Other names (DBA / former)

Doing business as: Private - Self - Employeed

Registry dates

Enumerated: 2011-03-04
Last updated: 2011-03-04

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.