OrganizationActive
Advocate Northside Health System
NPI 1861774408 · Mental Health Clinic/Center (Including Community Mental Health Center) · Chicago, IL
Provider details
- NPI number
- 1861774408
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kara Richardson, Vp Managed Health(980) 416-4068
- License
- 04004 (IL)
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense 04004 (IL)
Ambulatory Health Care Facilities
Practice location
913 W Wellington Ave Fl 2
Chicago, IL 60657-6709
Phone: (873) 843-0200
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 70508
Chicago, IL 60673-0508
Other names (DBA / former)
- Doing business as
- Advocate Illinois Masonic Medical Center
- Doing business as
- Advocate Illinois Masonic Medical Center
Registry dates
- Enumerated
- 2011-09-09
- Last updated
- 2026-04-21
- Certified
- 2026-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.