OrganizationActive
Advocate Illinois Masonic Medical Center
NPI 1508031675 · Internal Medicine Physician · Chicago, IL
Provider details
- NPI number
- 1508031675
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Advocate Health Care
- Organization subpart
- Yes
- Authorized official
- Teresa Ramos, Residency Program Director(773) 296-5424
- License
- 125-053509 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3048 N Wilton Ave
Chicago, IL 60657
Phone: (773) 296-5424
Approximate (ZIP-level) locationGet directions
Mailing address
836 W Wellington Ave
Chicago, IL 60657
Registry dates
- Enumerated
- 2008-04-29
- Last updated
- 2008-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.