Provider Demographics
NPI:1164748752
Name:ADVOCATE HEALTH AND HOSPITAL CORPORATION
Entity Type:Organization
Organization Name:ADVOCATE HEALTH AND HOSPITAL CORPORATION
Other - Org Name:ADVOCATE FITNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:
Authorized Official - Last Name:BECK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-320-1155
Mailing Address - Street 1:PO BOX 610
Mailing Address - Street 2:
Mailing Address - City:WORTH
Mailing Address - State:IL
Mailing Address - Zip Code:60482-0610
Mailing Address - Country:US
Mailing Address - Phone:708-923-3071
Mailing Address - Fax:708-923-3625
Practice Address - Street 1:205 W TOUHY AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068-4256
Practice Address - Country:US
Practice Address - Phone:847-384-3727
Practice Address - Fax:847-698-0872
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ADVOCATE HEALTH AND HOSPITAL CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-04-08
Last Update Date:2010-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health